Order 230 staffing standards. Legal framework of the Russian Federation

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 institutions health care 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 of June 26, 2003 N 07/6476-YUD, this order was recognized as not requiring state registration (information published in the AKDI newspaper "Economics and Life", August 2003, N 31)

In order to improve the organization and regulation of labor of workers in healthcare institutions and on the basis of Resolution 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 approve the staffing standards of employees and workers of state and municipal healthcare institutions (Appendix No. 1), staffing standards of employees of centralized accounting departments at state and municipal healthcare institutions (Appendix No. 2) and staffing standards of structural divisions (employees) specially authorized to solve problems in the field of civil defense of state and municipal health care institutions (Appendix No. 3).
2. To consider as invalid the order of the Ministry of Health of Russia dated 05.22.01 N 165 "On the approval of staffing standards for employees and workers of health care institutions and employees of centralized accounting offices at health care institutions."
3. Control over the execution of this order shall be entrusted to the First Deputy Minister of Health of the Russian Federation, AI Vyalkov.

Minister Y. L. Shevchenko

Appendix N 1

Staff standards of employees and workers of state and municipal health care institutions

1. Positions of employees entered by type of institution

1.4. Blood transfusion stations, blood centers

NN p / p	Job title	Number of posts

1.4.1.	Manager (chief physician, director)	1 position in each institution. In institutions assigned to the IV group for the remuneration of managers, the position of the head is introduced instead of the 0.5 position of the doctor
1.4.2.	Deputy Head for Economic Affairs
1.4.3.	Deputy Chief Physician for Economic Affairs	1 position in institutions assigned to I-III groups for the remuneration of managers
1.4.4.	Head of the economic department	1 position in institutions assigned to the IV group for the 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 accounting and accountants, this position is introduced instead of the position of an accountant, over 3 to 6 - instead of 0.5 positions of an accountant
1.4.6.	Deputy chief accountant, accountant, accountant-auditor, senior cashier	According to the standard standards of centralized accounting departments budgetary institutions health care, based on the indicators of this institution
1.4.7.	Cashier
1.4.8.	Deputy Chief Physician for Human Resources, Head hR department, HR specialist, senior HR inspector, HR inspector, typist	According to the standards provided for, respectively, paragraphs 1.1.10, 1.1.11, 1.1.12, 1.1.31
1.1.10.	Deputy Chief Physician for Human Resources	1 position in institutions assigned to I-II groups for the remuneration of managers
1.1.11.	Head of HR department	1 position in institutions assigned to the I-II group for the remuneration of managers; 1 position in institutions assigned to III-IV groups for the remuneration of managers - instead of one of the positions provided for in clause 1.1.12
1.1.12.	HR Specialist, HR Inspector (Senior Inspector)	Based on 1 position for 150 positions, but not less than 1 position in the institution
1.1.31.	Typist	At the rate of 1 position for 8000 typewritten sheets of service documentation per year
1.4.9.	Head of Chancellery	1 position in institutions assigned to Group I for executive salaries
1.4.10.	Clerk	0.5 positions in institutions assigned to Group IV for executive salaries. 1 position in institutions assigned to I-III groups for the remuneration of managers
1.4.11.	Secretary-typist	1 position in each institution
1.4.12.	Economist	1 position in institutions assigned to IV-III groups for remuneration of managers. 2 positions in institutions classified in II-I groups in terms of remuneration of managers
1.4.13.	Economist on financial work	0.5 positions in institutions not serviced by centralized accounting and assigned to Group IV for the remuneration of managers. 1 position in institutions not served by centralized accounting and assigned to groups I-III for remuneration of managers.
1.4.14.	Engineer	1 position in institutions assigned to I-III groups for remuneration of managers and do not have production (laboratories) fractionation of plasma proteins
1.4.15.	Technician	1 position in institutions assigned to IV-V groups for the remuneration of managers and not having production (laboratories) for fractionation of plasma proteins.
1.4.16.	Occupational safety engineer	1 position in institutions, with the number of employees ( individuals) over 100 and additionally - according to cross-sectoral standards for the number of workers in the labor protection service in organizations.
1.4.18.	Commodity specialist	1 position in institutions that process at least 10 thousand liters of plasma per year in plasma fractionation production, and an additional 1 position - when processing at least 20 thousand liters of plasma per year.

2. Positions of employees and professions of workers, introduced depending on the organizational and technical conditions of the functioning of institutions

2.1. Employee positions

Job title	Number of units	Number of posts
Car driver		For a car of any type, for an ambulance - per shift
Moto driver vehicle		On a motorcycle, scooter, motocart or other motor vehicle belonging to category "A" used for the carriage of goods
Snowmobile driver		The time for the period of which the snowmobile driver is provided is determined by the health authorities according to the subordination of the institution
Electric and car driver		On an electric and carriage used for the transport of goods
Carter		On a work horse
Cloakroom attendant		At the rate of 1 in 150 rooms, but not less than 1 per shift. In the states of local hospitals with less than 25 beds, outpatient clinics with fewer than 10 doctor posts (including those that are part of local hospitals), children's homes and dairy kitchens, a cloakroom attendant is not introduced ...
Stoker		If there are stoves for the heating season
Mason		At the rate of 1 for: - 30 thousand square meters of the total area of \u200b\u200bbrick buildings or 33,700 square meters of the total area of \u200b\u200blarge-block and large-panel buildings, operating up to 10 years; - 20 thousand square meters. or 22500 sq.m. respectively, in these buildings, which have been in operation for over 10 years.
Castellansa		For an independent medical and prophylactic institution that does not have a bed fund, with the number of medical posts 25-75; For an outpatient-polyclinic unit with the number of medical posts from 25 to 75, which is a part of a medical institution and located in a separate room.
		To an independent medical and prophylactic institution that does not have a bed fund, with more than 75 medical posts; to an ambulance station with more than 10 thousand visits per year; to a blood transfusion station assigned to the V-IV groups of executive salaries.
		To the blood transfusion station, assigned to the II-III groups according to the remuneration of managers.
		To the blood transfusion station, assigned to the I group for the remuneration of managers.
Storekeeper		In institutions with 75-120 beds, and in central regional hospitals - for 50-95 beds; at blood transfusion stations with the amount of blood collected up to 3 thousand liters per year; at ambulance stations - with the number of visits per year from 20 to 40 thousand In the forensic medical examination bureau with the number of medical positions from 20 to 40.
		In institutions for 125-200 beds (places), and in central regional hospitals - for 100-150 beds. In institutions with more than 200 (in central regional hospitals - over 150) additional beds at the rate of 1 position for 250 beds. with the amount of harvested blood 3 or more thousand liters per year. At ambulance stations with the number of visits per year 40 thousand or more.
Roofer		Based on 1 on: - 10,300 sqm of steel roof - 9,200 sqm of rolled roof (soft) - 11,800 square meters of slate roofing - 16,500 square meters of asbestos-cement roofing - 12,400 sq.m. tiled roof
Lifter		Freight elevator per shift
Painter and plasterer		In total, based on 1 for: - 20,000 square meters of total area in stone buildings that have been in use for up to 10 years; - 13,500 sq.m. in these buildings, which have been in operation for over 10 years; - 16,000 sqm total area in wooden buildings - 1400 sqm total area in other buildings
Operator of electronic computers and computers
Copier and Duplicator Operator		In institutions assigned to I-II groups for the remuneration of managers, if there is a volume of work
Microfilm and copy machine operator		Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method
The hairdresser		At the rate of 1 in 200 beds
Binder of documents		According to the standard times for bookbinding
Stove operator, greenhouse worker or gardener, territory cleaner and other workers engaged in sanitary maintenance of territories		All institutions - according to the standards of service for furnace work, according to the standard standards of service for workers engaged in sanitary maintenance of households.
Construction carpenter and joiner		In total, based on 1 for: - 18,000 square meters of total area in stone buildings that have been in use for up to 10 years; - 11,000 sq.m. in these buildings, which have been in operation for over 10 years; - 8000 sq.m. total area in wooden buildings; - 10,000 square meters of total area in other buildings
Floor polisher		According to the standard standards of time for floor polishing
Auxiliary worker		All institutions in the presence of a scope of work not provided for elsewhere workers' professions. In pharmacies assigned to I-IV groups in terms of executive compensation.
Acceptor of gold of dental institutions (divisions)		- up to 15 kg.; - over 15 kg.
Worker comprehensive service buildings		It is introduced instead of the professions of workers (stoker, bricklayer, roofer, painter, plasterer, floor polisher, carpenter, joiner, installer of internal sanitary systems and equipment, glass cleaner, electrician), when according to the standards provided for each profession, workers of the specified professions for certain names
Workers of motor transport departments (garages)		An institution with up to 50 units of rolling stock (cars, tractors, road and other machines), except for electric and car trolleys, etc. vehicles - according to the standards for road workers
Laundry workers (washing and repairing overalls, washing machine operator, ironer, etc.)		Professions of laundry workers are introduced according to the standards of 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 corresponding industry regulations and labor standards
Plumber		Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method
Glass cleaner		According to the standard norms of time for glass cleaning work
Carpenter		Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method
Watchman (watchman)		Depending on the amount of work on cross-sectoral and sectoral norms and regulations
Local telephone operator		Per switch per shift
Cleaner of production and service premises		Based on 1 on: - 250 sqm wooden floors; - 350 sqm ceramic tiled floors; - 425 sqm linoleum floors; - 550 sqm of passages and tunnels connecting the building
Seamstress		At the rate of 1 to 300 beds (places)
Communications Electromechanic		Institutions with automatic telephone exchanges - according to the standards of communications workers
Electrician for repair and maintenance of electrical equipment		Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method

Notes:
1. The name 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 agency staff.
Director position, replaced by specialists who do not have medical education, is established in sanatorium-resort institutions assigned to groups I-IV in terms of remuneration of managers. In this case, the position of the 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 divisions or introduce positions (professions of workers) not provided for by these staffing standards, at the expense of the posts of other structural divisions within the wage fund established by the institution.
The introduction of additional positions in excess of the current staffing standards is allowed only if there is job description on the functional responsibilities of the employee, additionally introduced to the staff of the institution, and business case expediency of the introduction of the specified position.
In this case, the names of positions of employees and professions of workers must correspond to their names provided for in the current staff standards, Tariff and qualification characteristics for industry-wide positions employees and professions of workers, approved by the Ministry of Labor of Russia. The names of workers 'professions that are not provided for by the tariff and qualification characteristics for general industry professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Reference Book of Work and Workers' Professions (ETKS).
In the staffing table of the institution vacancies are indicated by their base name, for example, accountant, economist, engineer.
Job titles employed specific workers - are determined based on the compliance of the level of their qualifications with the requirements stipulated by the tariff and qualification characteristics for general industry positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and work experience as an economist for 4 years, in the staffing table of the institution, the position will be called an economist of the II category, etc.
3. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13-0.37 are rounded to 0.25, figures 0.38-0.62 are rounded to 0.5, figures 0.63-0.87 are rounded to 0.75, and above 0.87 - to one. If, for several titles, 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all the combined positions (professions).

Appendix N 2

Staff standards for employees of centralized accounting departments at state and municipal health care 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 is supposed to be in accordance with paragraphs. 4-8 of these staffing 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 can be introduced at the expense of one of the positions of group leaders in centralized accounting offices 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 the deputy chief accountant can be introduced in institutions that carry out operations in tax and statistical accounting.
3. The position of the head of the accounting group is established for each functional group, according to pp. 4-8 of these staffing standards relies on at least 6 positions of accountants, instead of one of them.
4. The positions of accountants for the accounting and calculation of food products are established at the rate of 1 position for 300 beds in medical and prophylactic institutions with a bed fund and places in children's homes.
5. Positions of accounting accountants material values are established at the rate of 1 position for:
- 300 beds in medical and prophylactic institutions with bed capacity, and places in children's homes;
- 100 medical positions in institutions without bed capacity.
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 institutions served.
7. Positions of accountants financial accounting are established at the rate of 1 position for:
- 750 beds;
-150 positions of doctors in the institutions served. Additionally, the positions of financial accountants are established:
7.1. 1 position in execution cash transactions through the treasury system;
7.2. 1 position for working 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 working in the compulsory health insurance system;
7.4. 1 position when servicing blood transfusion stations assigned to III - IV groups and 2 positions - to I-II groups for the remuneration of managers;
7.5. at the rate of 1 position per 100 thousand visits per year in the served ambulance stations;
7.6. 0.5 positions in servicing the centers of state sanitary and epidemiological supervision, assigned to III - IV groups and 1 position to I - II groups for remuneration of managers;
7.7. at the rate of 1 position for 60 medical positions when servicing the forensic medical examination bureau;
7.8. 0.5 positions when servicing dairy kitchens with throughput per day from 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 serving less than 10 institutions with more than 300 beds (in total) and (or) 60 positions of doctors (in total);
2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 positions of doctors (in total);
8.2. 1 position - when servicing ambulance stations with the number of visits over 100 thousand per year;
8.3. 1 position in the presence of centers of state sanitary and epidemiological supervision with the number of serviced population over 1 million people;
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 when servicing a forensic medical examination bureau with over 60 medical positions.
9. The position of the senior cashier is established in the accounting department serving more than 1000 employees (individuals) instead of one position of the cashier relying on clause 10 of these staffing standards.
10. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population in its state, additional positions of cashiers are established:
10.1. 0.5 positions in the presence of a dairy kitchen with a capacity of up to 2 thousand servings per day; 1 position - over 2 thousand servings;
10.2. 0.5 positions in the presence of a denture department with the number of positions of dentists orthopedists of 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 preventive disinfection department with a staff of 10 or more positions of medical disinfectants for carrying out paid work on preventive disinfection, disinsection and deratization;
10.5. 1 position when conducting 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 the serviced institutions over 300 (in total) and over 60 medical positions (in total);
11.2. at the rate of 1 position per 100 thousand visits per year at ambulance stations;
11.3. at the rate of 1 position for 60 medical positions in the forensic medical examination bureau;
11.4. 1 position in servicing the centers of state sanitary and epidemiological supervision and blood transfusion stations assigned to the III-IV groups and 2 positions in the I-II groups for the remuneration of managers.
12. 0.5-1.0 position of a typist is established in each accounting department.

Notes:
1. Maintenance of the centralized accounting (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the staff of the institution, which organized centralized accounting.
The positions of employees and professions of workers in centralized accounting offices 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 or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13-0.37 are rounded to 0.25, figures 0.38-0.62 are rounded to 0.5, figures 0.63-0.87 are rounded to 0.75, and above 0.87 - to one. If, for several titles, 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions in all the combined positions (professions).
3. Formation of functional groups and determination of the number of accounting personnel in each group is determined by the chief accountant within the limits of the number of posts relying on centralized accounting for these standard 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 the centralized accounting department.

Appendix N 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)

	The number of employees in a healthcare facility	Job titles
	Up to 500 people	1 position of the deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense)
	500 to 2000 people	1 position of deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense); 1-2 positions of civil defense specialists
	2000 to 5000 people	1 position of deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense); 2-3 positions of civil defense specialists
	More than 5000 people	1 position of deputy chief physician (director, manager, chief) for the medical part (for mobilization work and civil defense); 4-5 positions of civil defense specialists

In institutions, organizations and enterprises that are not classified in the categories of civil defense, with the number of employees over 200 people, 1 position of the deputy chief physician (director, head, chief) for the medical part (for mobilization work and civil defense) is introduced.

Notes:
1. When determining the number of employees in structural units for mobilization work and civil defense (individual workers in other departments) in organizations with hospitals, the number of patients treated is taken into account (according to the number of estimated beds).
2. In medical and prophylactic institutions that have departments for non-transportable patients for a special period, the position of head of department may be introduced instead of the position of a civil defense specialist.

In order to improve the organization and regulation of work of employees of health care 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 Regulation 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 dated 09062003 230

1. The name 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 agency staff.

The position of the director, replaced by specialists who do not have medical education, is established in sanatorium-resort establishments assigned to groups I-IV in terms of remuneration of managers. In this case, the position of the 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 divisions or introduce positions (professions of workers) not provided for by these staffing standards, at the expense of the posts of other structural divisions within the wage fund established by the institution.

Introduction additional posts in excess of the current staffing standards is allowed only if there is a job description functional responsibilities an employee, additionally introduced to the staff of the institution, and an economic justification for the feasibility of introducing the specified position.

In this case, the names of positions of employees and professions of workers must correspond to their names provided for in the current staff standards, tariff and qualification characteristics for general industry positions of employees and professions of workers, approved by the Ministry of Labor of Russia. The names of workers 'professions that are not provided for by the Tariff and qualification characteristics for general industry professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Reference of Work and Workers' Professions (ETKS).

In the staffing table of the institution, vacancies are indicated by their basic name, for example, accountant, economist, engineer.

The titles 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 work experience as an economist for 4 years, the staffing table of the institution, the position will be called an economist of the II category, etc.

3. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13-0.37 are rounded to 0.25, figures 0.38-0.62 are rounded to 0.5, figures 0.63-0.87 are rounded to 0.75, and above 0.87 - to one. If, for several titles, 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all the combined positions (professions).

Staff standards for employees of centralized accounting departments at state and municipal health care 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 is supposed to be in accordance with paragraphs. 4-8 of these staffing 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 the deputy chief accountant can be introduced at the expense of one of the positions of group leaders in centralized accounting offices 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, according to pp. 4-8 of these staffing standards relies on at least 6 positions of accountants, instead of one of them.

4. The positions of accountants for the accounting and calculation of food products are established at the rate of 1 position for 300 beds in medical and prophylactic institutions with a bed fund and places in children's homes.

- 300 beds in medical and prophylactic institutions with bed capacity, 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 institutions served.

150 positions of doctors in the institutions served. Additionally, the positions of financial accountants are established:

7.1. 1 position in the execution of cash transactions through the treasury system;

7.2. 1 position for working 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 working in the compulsory health insurance system;

7.4. 1 position when servicing blood transfusion stations assigned to III - IV groups and 2 positions - to I-II groups for the remuneration of managers;

7.5. at the rate of 1 position per 100 thousand visits per year in the served ambulance stations;

7.6. 0.5 positions in servicing the centers of state sanitary and epidemiological supervision, referred to III - IV groups and 1 position to I - II groups for the remuneration of managers;

7.7. at the rate of 1 position for 60 medical positions when servicing the forensic medical examination bureau;

7.8. 0.5 positions when servicing dairy kitchens with a daily throughput of 1 to 5 thousand portions, 1 position - over 5 to 7 thousand portions and 1.5 positions - over 7 thousand portions.

8. The positions of accountants-auditors are established:

8.1. 1 position - when serving less than 10 institutions with more than 300 beds (in total) and (or) 60 positions of doctors (in total);

2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 positions of doctors (in total);

8.2. 1 position - when servicing ambulance stations with the number of visits over 100 thousand per year;

8.3. 1 position in the presence of centers of state sanitary and epidemiological supervision with the number of served population over 1 million people;

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;

9. The position of the senior cashier is established in the accounting department serving more than 1000 employees (individuals) instead of one position of the cashier relying on clause 10 of these staffing standards.

10. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population in its state, additional positions of cashiers are established:

10.1. 0.5 positions in the presence of a dairy kitchen with a capacity of up to 2 thousand servings per day; 1 position - over 2 thousand portions;

10.2. 0.5 positions in the presence of a denture department with the number of positions of dentists orthopedists of 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 preventive disinfection department with a staff of 10 or more positions medical disinfectants for carrying out paid work on preventive disinfection, disinsection 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 the serviced institutions over 300 (in total) and over 60 medical positions (in total);

11.2. at the rate of 1 position per 100 thousand visits per year at ambulance stations;

11.3. at the rate of 1 position for 60 medical positions in the forensic medical examination bureau;

11.4. 1 position in servicing the centers of state sanitary and epidemiological supervision and blood transfusion stations assigned to the III-IV groups and 2 positions in the I-II groups for the remuneration of managers.

12. The 0.5-1.0 position of a typist is established in each accounting department.

1. Maintenance of the centralized accounting (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the staff of the institution, which organized centralized accounting.

The positions of employees and the professions of workers in centralized accounting offices located in separate premises, as well as employed in technological process, are established according to the standards of the relevant workers provided for medical and preventive institutions.

2. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13-0.37 are rounded to 0.25, figures 0.38-0.62 are rounded to 0.5, figures 0.63-0.87 are rounded to 0.75, and above 0.87 - to one. If, for several titles, 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions in all the combined positions (professions).

3. Formation of functional groups and determination of the number of accounting personnel in each group is determined by the chief accountant within the limits of the number of posts relying on centralized accounting for these standard states.

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Order of the Ministry of Health of the Russian Federation of 09.06.2003 N 230 "ON THE APPROVAL OF STAFF STANDARDS FOR EMPLOYEES AND WORKING STATE AND MUNICIPAL HEALTH CARE INSTITUTIONS AND EMPLOYEES OF CENTRALIZED ACCOUNTING SERVICES"

1. To approve the staffing standards for employees and workers of state and municipal healthcare institutions (Appendix No. 1), staff standards for employees of centralized accounting departments at state and municipal healthcare institutions (Appendix No. 2) and staffing standards for structural divisions (employees) specially authorized to solve problems in the field of civil defense of state and municipal health care institutions (Appendix No. 3).

2. To consider as invalid the Order of the Ministry of Health of Russia dated 05.22.01 N 165 "On the approval of staffing standards for employees and workers of health care institutions and employees of centralized accounting departments at health care institutions."

3. Control over the implementation of this Order shall be entrusted to the First Deputy Minister of Health of the Russian Federation A.I. Vyalkova.

1.1. Treatment-and-prophylactic institutions (LPI), which include outpatient and polyclinic units

- in institutions with up to 100 beds;

- in institutions assigned to I - II groups for the remuneration of managers

- in maternity hospitals with antenatal clinics with less than 5 doctor positions and a hospital for 100 - 180 beds; 1 position:

- in regional, regional, republican, district hospitals;

- narcological and neuropsychiatric dispensaries of republican, district, regional, regional, city (cities with a population of over 800 thousand) subordination; dermatovenerologic dispensaries of city subordination, serving at least 200 thousand people; in the absence of a neuropsychiatric dispensary, this position is established in one of the psychiatric hospitals with 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 and more thousand 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 posts in the antenatal clinic, this post is introduced if there are at least 190 beds in the hospital.

1.2. Treatment-and-prophylactic institutions that do not include outpatient and polyclinic units

- 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 and prophylactic 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 and preventive institutions - for 150 or more beds (places in children's homes).

In the institutions assigned to the I group for the remuneration of managers, the position of the deputy head for economic issues is not established

- in maternity hospitals for 50 - 100 beds;

- in specialized hospitals for 100 - 200 beds;

- for adults with 100 - 200 beds;

- for children with 100 - 150 beds;

- in other institutions - for 100 - 150 beds (places in children's homes) and in institutions assigned to the I group for the remuneration of managers.

In institutions with bed capacity 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 economy 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 care facilities for 1000 or more beds.

In infectious 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 for 660 and 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 position per 1000 beds in psychiatric hospitals

1.3. Outpatient polyclinic institutions; other health care institutions that do not have beds

- for antenatal clinic with the number of medical positions from 11 positions;

- to the children's clinic serving 15 thousand and more children. When serving a smaller number of children, the specified position is introduced at the rate of 15 thousand children;

- at the skin and venereal clinic of republican, district, regional, regional, city (cities with a population of at least 200 thousand) subordination;

- to 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. Employee positions

- medical and prophylactic institutions that have a bed fund, assigned to group I for the remuneration of managers in the presence of an energy sector;

- blood transfusion stations assigned to the I group in terms of remuneration of managers, in the presence of an energy economy

- blood transfusion stations assigned to the I group in terms of remuneration of managers

- plumbing - with an average daily supply of water and an average daily amount of liquid discharged through the sewage network of at least 4 thousand cubic meters. m; - gas - if the volume of work of the gas facilities exceeds 500 conventional units;

- lift - if there are at least 45 lifts;

- 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 inexpedient to introduce the positions of chiefs for individual services, the 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 at least 50 thousand departures per year, with radiotelephone communication

- in the institutions provided for in clauses 1.1 and 1.2, assigned to I - IV groups for the remuneration of managers;

- in blood transfusion stations processing 15 thousand and more liters of plasma per year in the production of fractionation of plasma proteins

2.2. Workers profession

- 30 thousand sq. m of the total area of \u200b\u200bbrick buildings or 33,700 sq. m of the total area of \u200b\u200blarge-block and large-panel buildings, operated for up to 10 years;

- 20 thousand sq. m or 22,500 sq. m, respectively, in these buildings, which have been in operation for over 10 years

- 300 places in children's homes;

- 300 beds in institutions from 150 beds, but at least 1 in maternity hospitals from 100 beds

- 10,300 sq. m of steel roof;

- 9200 sq. m roll roof (soft);

- 11800 sq. m roof from slate coverings;

- 16500 sq. m roofs made of asbestos-cement coatings;

- 12400 sq. m tiled roof

- 20,000 sq. m of the total area in stone buildings that have been in operation for up to 10 years;

- 13500 sq. m - in the specified buildings that have been in operation for over 10 years;

- 16,000 sq. m of the total area in wooden buildings;

- 14,000 sq. m of total area in other buildings

- 18,000 sq. m of the total area in stone buildings that have been in operation for up to 10 years;

- 11,000 sq. m - in the specified buildings that have been in operation for over 10 years;

- 8000 sq. m of the total area in wooden buildings;

- 10,000 sq. m of total area in other buildings

- 250 sq. m of 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 staff of republican centers of medical prevention;

- 0.15 for 1 position of a methodologist in the staff of other centers of medical prevention;

- 0.1 per doctor position in the forensic medical examination bureau

Notes. 1. The name 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 medical education, is established in sanatorium-resort institutions assigned to groups I - IV in terms of remuneration of managers. In this case, the position of the 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 divisions or introduce positions (workers' professions) that are not provided for by these staffing standards, at the expense of the positions of other structural divisions within 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 general industry positions of employees and professions of workers, approved by the Ministry of Labor of Russia. The names of workers 'professions that are not provided for by the tariff and qualification characteristics for the industry-wide professions of workers are established in accordance with the names contained in the Unified Tariff and Qualification Reference Book of Work and Workers' Professions (ETKS).

In the staffing table of the institution, vacancies are indicated by their basic name, for example, accountant, economist, engineer.

The titles 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 general industry positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and work experience as an economist for 4 years, in the staffing table of the institution, the position will be called an economist of the II category, etc.

3. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13 - 0.37 are rounded to 0.25, figures 0.38 - 0.62 are rounded to 0.5, figures 0.63 - 0.87 are rounded to 0.75, and above 0.87 - to one. If for several names 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all the combined positions (professions).

2. The positions of deputy chief accountants are established in the accounting department, which is relied upon in clauses 4-8 of these staffing standards:

2.1. Additionally, the position of deputy chief accountant can be introduced at the expense of one of the positions of group leaders in centralized accounting offices 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 the deputy chief accountant can be introduced in institutions that carry out operations in tax and statistical accounting.

3. The position of the head of the accounting group is established for each functional group, which, according to clauses 4-8 of these staffing standards, is entitled to at least 6 positions of accountants, instead of one of them.

4. The positions of accountants for the accounting and calculation of food products are established at the rate of 1 position for 300 beds in medical and preventive institutions with a bed fund and places in children's homes.

5. Positions of accountants for accounting of material values \u200b\u200bare established at the rate of 1 position for:

- 100 medical positions in institutions without bed capacity.

7. The positions of financial accountants are established at the rate of 1 position for:

- 150 positions of doctors in the institutions served.

Additionally, the positions of financial accountants are established:

7.1. 1 position in the execution of cash transactions through the treasury system.

7.2. 1 position for working 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 working in the compulsory health insurance system.

7.4. 1 position in servicing blood transfusion stations assigned to III - IV groups, and 2 positions - to I - II groups for the remuneration of managers.

7.5. At the rate of 1 position per 100 thousand visits per year in the served ambulance stations.

7.6. 0.5 positions in servicing the centers of state sanitary and epidemiological supervision, assigned to III - IV groups, and 1 position - to I - II groups 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 serving less than 10 institutions with more than 300 beds (in total) and (or) 60 positions of doctors (in total).

2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 positions of doctors (in total).

8.2. 1 position - when servicing ambulance stations with the number of visits over 100 thousand per year.

8.3. 1 position in the presence of centers of state sanitary and epidemiological supervision with the number of served population over 1 million people.

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 when servicing a forensic medical examination bureau with more than 60 medical positions.

9. The position of the senior cashier is established in the accounting department serving more than 1000 employees (physical eggs), instead of one position of the cashier relying on clause 10 of these staffing standards.

10.1. 0.5 positions in the presence of a dairy kitchen with a capacity of up to 2 thousand servings per day; 1 position - over 2 thousand servings.

10.2. 0.5 positions in the presence of a denture department with the number of positions of dentists and orthopedists of 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 preventive disinfection department with a staff of 10 or more positions of medical disinfectants for carrying out paid work on preventive disinfection, disinsection and deratization.

10.5. 1 position when conducting 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 the served institutions over 300 (in total) and over 60 medical positions (in total).

11.2. At the rate of 1 position per 100 thousand visits per year at ambulance stations.

11.3. Based on 1 position for 60 medical positions in the forensic medical examination bureau.

11.4. 1 position in servicing the centers of state sanitary and epidemiological supervision and blood transfusion stations assigned to the III - IV groups, and 2 positions in the I - II groups for the remuneration of managers.

12. 0.5 - 1.0 the position of a typist is established in each accounting department.

Notes. 1. Maintenance of the centralized accounting (cleaning and repair of premises, current monitoring of equipment and apparatus, etc.) is carried out by the staff of the institution, which organized centralized accounting.

The positions of employees and professions of workers in centralized accounting offices 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 in medical institutions.

2. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered in the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13 - 0.37 are rounded to 0.25, figures 0.38 - 0.62 are rounded to 0.5, figures 0.63 - 0.87 are rounded to 0.75, and above 0.87 - to one. If for several names 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all the combined positions (professions).

3. Formation of functional groups and 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 relying on centralized accounting for these standard staffs.

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 the centralized accounting department.

Order of the Federal MHI Fund of December 13, 2011 N 230 "On approval of the Procedure for maintaining the territorial register of experts on the quality of medical care by the territorial compulsory health insurance fund and posting it on the official website of the territorial compulsory health 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 compulsory 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" (Collected Legislation of the Russian Federation, 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 on 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 in accordance with the annex.

Registration N 23086

The procedure for maintaining the territorial register of experts on the quality of medical care has been approved.

An expert on the quality of medical care can be a doctor who has a higher professional education, an accreditation certificate or a specialist certificate. His work experience is at least 10 years. He should also be trained in expert activities in the field of compulsory health insurance.

To include an expert in the register, you must 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 constituent entity of the Federation in the field of healthcare, the Roszdravnadzor department, a professional medical association, public association medical professionals, a medical or medical insurance organization.

The decision on the inclusion of an expert in the register or on exclusion from it is made by the Director of the Fund.

The register is posted on the official website of the TFOMI and is updated as necessary.

This order comes into force 10 days after the day of its official publication

This document is amended 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 n 230 (as amended on 19.12.2003) ON APPROVAL OF STAFF STANDARDS FOR EMPLOYEES AND WORKING STATE AND MUNICIPAL HEALTH CARE INSTITUTIONS AND EMPLOYEES OF CENTRAL HOSPITALS

ON THE APPROVAL OF STATE REGULATIONS

OFFICERS AND WORKERS OF STATE

AND MUNICIPAL HEALTH INSTITUTIONS

AND EMPLOYEES OF CENTRALIZED ACCOUNTING

UNDER STATE AND MUNICIPAL

In order to improve the organization and regulation of labor 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 Regulation on the Ministry of Health of the Russian Federation" (Collected Legislation of the Russian Federation, 2002, N 18, Art. 1771) I order:

(as amended by the Order of the Ministry of Health of the Russian Federation of 19.12.2003 N 607)

1. Positions of employees entered by type of institution

¦ N ¦ Name ¦ Number of posts ¦

¦1.1.1. ¦ Leader (heads-¦1 position in each institution. ¦

¦ ¦ny doctor, director, ¦ In institutions with up to 30 beds, the position ¦

¦ ¦ chief) ¦ manager is installed instead of ¦

¦ ¦ ¦1 positions of a doctor, for 30 - 50 beds -¦

¦ ¦ ¦ instead of 0.5 doctor position ¦

¦1.1.2. ¦Director ¦1 position in institutions, ¦

¦ ¦ ¦ assigned to groups I - II by ¦

¦1.1.3. ¦Deputy head- ¦1 position in institutions for 100 and ¦

¦ ¦ economy guide more beds ¦

¦1.1.4. ¦Deputy head- ¦1 position in institutions per 100 - ¦

¦ ¦mistress - ¦800 beds ¦

¦1.1.5. ¦Head of the housekeeper- ¦1 position: ¦

¦ ¦venny department ¦ - in institutions with up to 100 beds; ¦

¦ ¦ ¦- in institutions classified as I - II¦

¦ ¦ ¦ pay groups ¦

¦1.1.6. ¦Head owner- ¦1 position for each ¦

¦ ¦ ¦ unit with the number of doctors ¦

¦ ¦ ¦ posts over 20 located in ¦

¦ ¦ ¦ 1 position for each stationary ¦

¦ ¦ ¦ department (group of departments) with ¦

¦ ¦ ¦ the number of beds in it (in them) 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 ¦

¦ ¦ ¦3 positions of accounting and accounting ¦

¦ ¦ ¦ workers, this position is being introduced ¦

¦ ¦ ¦ instead of an accountant, over 3¦

¦ ¦ ¦ up to 6 - instead of 0.5 positions ¦

¦1.1.8. ¦Deputy heads- ¦According to staff standards ¦

¦ ¦ accountant, ¦ centralized accounting at при

¦ ¦accountant, accountants- ¦ healthcare 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, ¦

¦ doctor by personnel ¦ assigned to groups I - II by по

¦ ¦ ¦ remuneration 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 positions, ¦

¦ ¦ ¦ stipulated in clause 1.1.12 ¦

¦ (Clause 1.1.11 as amended by the Order of the Ministry of Health of the Russian Federation of 19.12.2003 N 607) ¦

¦1.1.12.¦Specialist in HR- ¦According to 1 position per 150 ¦

¦ ¦ram, inspector for ¦ positions, but not less than 1 position ¦

¦ ¦kadram (senior ¦ in institution ¦

¦1.1.13.¦Head of office - ¦1 position in institutions, ¦

¦ laria ¦ assigned to groups I - II by ¦

¦1.1.14. Clerk ¦1 position in institutions, ¦

¦ ¦ ¦ assigned to groups I - IV by ¦

¦1.1.15. Secretary- ¦1 position in each institution ¦

¦1.1.16.¦ Head of planning - ¦1 position in institutions, ¦

¦ ¦economic attributed to groups I - II by ¦

¦ Business ¦ Remuneration of managers. ¦

¦ ¦ ¦In institutions classified under III ¦

¦ ¦ ¦ pay group ¦

¦ ¦ ¦ supervisors, chief position ¦

¦ ¦ ¦ introduced instead of 0.5 positions ¦

¦1.1.17.Economist ¦According to 1 position for 150 beds in¦

¦ ¦ ¦In institutions with up to 600 beds, but not less не

¦ ¦ ¦0.5 positions in institutions up to 75 ¦

¦ ¦ ¦ beds and 1 positions in institutions on ¦

¦ ¦ ¦75 or more beds. In institutions over

¦ ¦ ¦600 beds - 4 positions and ¦

¦ ¦ in addition 1 position per ¦

¦ ¦ ¦every additional 400 beds (over ¦

¦ ¦ ¦ In health care facilities that include ¦

¦ ¦ ¦ points, health posts (medical, ¦

¦ ¦ ¦ paramedics) with the number of positions ¦

¦ ¦ ¦ medical professionals in these ¦

¦ ¦ ¦ divisions in total over 50, ¦

¦ ¦ additional position is introduced ¦

¦ ¦ ¦economist at the rate of 0.25 position¦

¦ ¦ ¦ for 50 medical positions ¦

¦1.1.18.¦Economist for ¦1 position in institutions, ¦

¦ ¦ financial work ¦ attributed to III - V groups by ¦

¦ ¦ ¦2 positions in institutions, ¦

¦ ¦ ¦ executive salaries, not ¦

¦1.1.19.¦ Head ¦1 position in institutions for 360 and ¦

¦ ¦library ¦more beds having libraries,

¦ ¦ ¦ which can be attributed to ¦

¦ ¦ ¦ leaders. In maternity hospitals, ¦

¦1.1.20.¦Library ¦1 position in institutions for 360 and ¦

¦ ¦ more beds (CRH for 190 and more ¦

¦ ¦ ¦ beds) that have libraries that ¦

¦ ¦ ¦ cannot be assigned to groups of ¦

¦ ¦ ¦ remuneration of labor of managers; ¦

¦ ¦ ¦0.5 positions in children's hospitals and ¦

¦ ¦ ¦ hospitals for war veterans at 190¦

¦ ¦ ¦ In maternity hospitals, infectious, ¦

¦ ¦ ¦ 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 additional 1 ¦

¦ ¦ ¦ job for every 500 beds over ¦

¦1.1.22.¦ Security engineer ¦1 position in institutions with ¦

¦ ¦ labor ¦ the number of employees (physical ¦

¦ ¦ faces) over 100 and additionally - by ¦

¦ ¦ ¦number of security personnel¦

¦ ¦ ¦ work in organizations ¦

¦1.1.23.¦ Technician ¦1 position in institutions,,

Order of the Ministry of Health of Russia dated 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 him" (Registered at the Ministry of Justice of Russia 04.07.2016 N 42742)

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ON THE APPROVAL OF THE ORDER

ISSUANCE OF CERTIFICATE OF ACCREDITATION OF A SPECIALIST, FORM

SPECIALIST ACCREDITATION CERTIFICATE

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 Health Protection of Citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 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;

the form of the certificate of accreditation of a specialist in accordance with Appendix No. 2;

technical requirements for the 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 drawn up 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 who is first recognized as having passed the accreditation of a specialist no later than 30 calendar days from the moment 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 the 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 the specialist.

5. The period 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 of June 2, 2016 N 334н "1" (hereinafter - the Regulations on accreditation) ...

"1" Registered by the Ministry of Justice of the Russian Federation on June 16, 2016, registration N 42550.

6. Filling out the form of the certificate of accreditation of a specialist is carried out in Russian in in electronic format using software or in a handwritten way.

7. When filling out the form of the certificate of accreditation of a specialist, the following shall be indicated:

last name, first name, patronymic (if any) of the person recognized by the accreditation commission as having passed the accreditation of a specialist;

the level of education in the specialty (direction of training) in accordance with the List of specialties (areas of training) 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 of September 12, 2013 N 1061 "On approval of the lists of specialties and areas of preparation of higher education" (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 dated 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 No. , 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 No. , 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 the 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 Of the 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), of November 18, 2015 N 1350 (registered by the Ministry of Justice of the Russian Federation on December 3, 2015 No. , registration N 39955).

type of activity (medical or pharmaceutical);

specialty in accordance with the Nomenclature of specialties of specialists with higher medical and pharmaceutical education "1" and (or) the Nomenclature of specialties of specialists with secondary medical and pharmaceutical education in the field of health care 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 Sector 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 of the Ministry of Health and Social Development of the Russian Federation of March 30, 2010 N 199n (registered by the Ministry of Justice of the Russian Federation on May 11, 2010, registration N 17160).

the 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 the premises of which the specialist was accredited;

the term 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 receipt acknowledgment.

9. For registration of the issued certificates of accreditation of a specialist, the accreditation commission maintains a logbook for the issued certificates of accreditation of a specialist, which indicates: surname, name, patronymic (if any), specialty (direction of training), registration number of the certificate of accreditation of a specialist, surname, name, patronymic (if any) of the person who received the certificate of accreditation, number, date of issue and the body that issued the identity document, of the person who received the certificate of accreditation of the specialist, the date of issue of the certificate of accreditation of the specialist.

10. The register of the issued certificates of accreditation of a specialist is kept in the organizations specified in clause 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 into 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 accounting in the implementation of medical activity persons participating 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 damage (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 of the certificate of accreditation of a specialist, which must indicate:

surname, name, patronymic (if any) of the person who received the certificate of accreditation of the specialist;

in case of loss of the certificate of accreditation of a specialist - the circumstances of the loss of the 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 attachment of the damaged certificate of accreditation of a specialist.

13. A duplicate of the certificate of accreditation of a specialist is drawn up 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. The 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:

copy of an identity document;

copy of documents about higher education and about qualifications (with attachments) or 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 any).

15. On the first page of a duplicate of the certificate of accreditation of a specialist in the heading under the words "certificate of accreditation of a specialist", the word "duplicate" is stamped in blue.

16. The certificate of accreditation of a specialist, damaged when filling out, shall be destroyed with the preparation of an appropriate act.

to the order of the Ministry of Health

FORM OF CERTIFICATE OF ACCREDITATION OF A SPECIALIST

CHANGES AND ADDITIONS TO Appendix No. 1 "STAFF STANDARDS OF EMPLOYEES AND WORKING STATE AND MUNICIPAL HEALTH INSTITUTIONS" TO THE ORDER OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION OF 09.06.2003 N 230

1. In section 1 "Positions of employees introduced by type of institution":

Subclause 1.1.11 of clause 1.1. "Treatment and prophylactic institutions (LPI), which include outpatient departments" shall be stated in the following edition:

1.2. Subclauses 1.3.3 and 1.3.4 of clause 1.3. "Outpatient polyclinic institutions; other health care institutions that do not have bed capacity" shall be stated in the following wording:

"1.3.3.	Deputy Head for Economic Affairs	1 position: - in institutions assigned to I-IV groups for the remuneration of managers; - in institutions assigned to the V group for the remuneration of managers, with the number of medical posts over 40;
1.3.4.	Deputy Head for Economic Affairs	1 position in institutions assigned to II-IV groups for the remuneration of managers. In the institutions assigned to the V group for the remuneration of managers, the position of the head of the economic department is introduced; in institutions with up to 20 medical positions - instead of the position of the head of the economic department, the position of the head of the economy is introduced
1.3.17	Economist	At the rate of 1 position per 100 medical positions, but not less than 1 position in the institution. "

1.3. Subclauses 1.4.4 and 1.4.12 of clause 1.4. "Blood transfusion stations, blood centers" shall be stated as follows:

1.4. Subclauses 1.5.2, 1.5.3, 1.5.7 and 1.5.10 of Clause 1.5. "Ambulance stations" shall be stated as follows:

"1.5.2.	Deputy Chief Physician for Economic Affairs	1 position in institutions assigned to I-IV groups for the remuneration of managers
1.5.3.	Deputy Chief Physician for Economic Affairs	1 position in institutions assigned to I-II groups for the remuneration of managers. In the institutions assigned to the III-IV groups for the remuneration of managers, the position of the head of the economic department is introduced. In the institutions assigned to the V group for the remuneration of managers, the position of the head of the economy is introduced
1.5.7.	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)
1.5.10.	Secretary-typist	1 position in the institution ".

2. In section 2 "Positions of employees and professions of workers, introduced depending on the organizational and technical conditions of the functioning of institutions":

2.1. Subclause 2.1.7 of subsection 2.1. "Positions of employees" shall be stated in the following edition:

2.2. Subclauses 2.2.13 and 2.2.24 of subsection 2.2. "Workers' professions" shall be stated as follows:

Appendix N 2

APPROVED BY
by order of the Ministry of Health of the Russian Federation
dated 19.12.2003 N 607

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ORDER of the Ministry of Health of the Russian Federation of 19.12.2003 N 607 "ON INTRODUCTION OF CHANGES AND ADDITIONS TO THE ORDER OF THE MINISTRY OF HEALTH OF RUSSIA OF 09.06.2003 N 230"

Order of the Ministry of Health of the Russian Federation 230

Legislative base of the Russian Federation

\u003d\u003d\u003d Download file \u003d\u003d\u003d

Order of the Ministry of Health of the Russian Federation of June 9, N ‘On the 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, In order to improve the organization and regulation of labor of health care workers and on the basis of the Decree of the Government of the Russian Federation dated April 29, N 'On approval of the Regulation on the Ministry of Health of the Russian Federation' Collected Legislation of the Russian Federation, N 18, Art ... To approve the staffing standards of employees and workers of state and municipal healthcare institutions Appendix No. 1, staff standards of employees of centralized accounting offices at state and municipal healthcare institutions, Appendix No. 2 and staffing standards of structural divisions of employees specially authorized to solve problems in the field of civil defense of state and municipal healthcare institutions Appendix No. 3. To consider invalid the order of the Ministry of Health of Russia from Control over the implementation of this order to assign to the First Deputy Minister of Health of the Russian Federation A. Staff standards of employees and workers of state and municipal health care institutions approved. Employee positions entered by institution type. Blood transfusion stations, blood centers. The positions of employees and professions of workers, introduced depending on the organizational and technical conditions of the functioning of institutions. The name of the position of the head of the institution is established in accordance with the profile of the institution headed, for example: In the staffing table of the institution, the position of the head is taken into account in the general institution staff. The position of the director, replaced by specialists who do not have medical education, is established in sanatorium-resort establishments assigned to groups I-IV in terms of remuneration of managers. In this case, the position of the director as deputy head of the institution is not introduced. The head of the institution, based on production needs, has the right to strengthen individual structural divisions or introduce positions for the profession of workers not provided for by these staffing standards, at the expense of the posts of other structural divisions within the wage fund established by the institution. The introduction of additional positions in excess of the current staffing standards is allowed only if there is a job description of the employee's functional responsibilities, which is additionally introduced to the staff of the institution, and an economic justification for the feasibility of introducing this position. In this case, the names of positions of employees and professions of workers must correspond to their names provided for in the current staff standards, tariff and qualification characteristics for general industry positions of employees and professions of workers, approved by the Ministry of Labor of Russia. The names of workers' professions that are not provided for by the Tariff and qualification characteristics for general industry professions of workers are established in accordance with the names contained in the Unified tariff and qualification reference book of ETKS jobs and professions. In the staffing table of the institution, vacancies are indicated by their basic name, for example, accountant, economist, engineer. The titles 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, an accountant, an engineer with a higher professional education and work experience as an economist for 4 years, in the staffing table institutions, the post will be called an economist of the II category, etc. Whole or 0.25, 0.5 and 0.75 positions of a unit can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.37 are rounded to 0, 25, the numbers 0.62 are rounded to 0.5, the numbers 0.87 are rounded to 0.75, and over 0.87 - to one. If, for several names, 0.25, 0.5 or 0.75 unit positions are formed, it is allowed to combine them by categories of personnel, employees, workers according to one of the combined names with the performance of functions for all the combined positions of professions. Staff standards for employees of centralized accounting departments at state and municipal health care institutions approved by The position of the chief accountant is established in each accounting department. The positions of the deputy chief accountant are established in the accounting department, which is relied on according to clause. Additionally, the position of the deputy chief accountant can be introduced in institutions that carry out operations in tax and statistical accounting. The position of the head of the accounting group is established for each functional group, which according to p.

Order of the Ministry of Health of the Russian Federation No. 230 dated 09.06.2003

The positions of accountants for the accounting and calculation of food products are established at the rate of 1 position per bed in medical and prophylactic institutions with a bed fund, and places in children's homes. The positions of accountants for accounting for material values \u200b\u200bare established at the rate of 1 position for: Positions of accountants for settlements with workers and employees are established at the rate of 1 position for regular positions in the serviced institutions.

The positions of financial accountants are established at the rate of 1 position for: Additionally, the positions of financial accountants are established: The position of the senior cashier is established in the accounting department serving more than individual employees instead of one cashier position relying on clause. The position of the cashier is established in each accounting department. When the accounting department directly conducts cash settlements with the population in its staff, additional positions of cashiers are established: The position of an economist for financial work is established: Maintenance of centralized accounting, cleaning and repair of premises, ongoing monitoring of equipment and apparatus, etc. Positions of employees and professions of workers of centralized accounting offices located in separate premises, as well as those employed in the technological process, are established according to the standards of the relevant workers provided for in medical institutions. The formation of functional groups and the determination of the number of accounting personnel in each group is determined by the chief accountant within the limits of the number of positions relying on centralized accounting for these standard states. 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 the centralized accounting department. Staff standards of structural divisions of employees, specially authorized to solve problems in the field of civil defense, state and municipal health care institutions approved. In institutions, organizations and enterprises that are not assigned to the categories of civil defense, with the number of employees in excess of people, 1 position of deputy chief physician of the director, head, head of the medical department for mobilization work and civil defense is introduced. When determining the number of employees in structural divisions for mobilization work and civil defense individual workers as part of other departments in organizations with hospitals, the number of patients treated is taken into account by the number of estimated beds. In medical institutions that have departments for non-transportable patients for a special period, the position of head of department may be introduced instead of the position of a civil defense specialist. Shevchenko Appendix N 1 Staff standards of employees and workers of state and municipal health care institutions approved. Positions of employees introduced by type of institution 1. Head, chief physician, director. In institutions assigned to the IV group for the remuneration of managers, the position of the manager is introduced instead of the 0.5 position of the doctor. Deputy Head for Economic Affairs. Deputy Chief Physician for Economic Affairs. In an institution that is entitled to up to 3 positions of accounting and accountants, this position is introduced instead of the position of an accountant, more than 3 to 6 - instead of 0.5 positions of an accountant. Deputy chief accountant, accountant, accountant-auditor, senior cashier. According to the standard standards of centralized accounting departments at budgetary health care institutions, based on the indicators of this institution. Deputy Chief Physician for HR, Head of HR, HR Specialist, Senior HR Inspector, HR Inspector, Typist. According to the standards provided for, respectively, p. Deputy Chief Physician for Human Resources. Human Resources Specialist, HR Inspector Senior Inspector. At the rate of 1 position for positions, but not less than 1 position in the institution. At the rate of 1 position on typewritten sheets of service documentation per year. Financial Economist. Occupational safety engineer. For any type of car. On an ambulance - per shift. On a motorcycle, scooter, motocart or other 'A' category motor vehicle used for the carriage of goods. The time for the period of which the driver of the snowmobile is provided is determined by the health authorities according to the subordination of the institution. On an electric and carriage used for the transport of goods. Based on 1 per room, but not less than 1 per shift. In the states of district hospitals with less than 25 beds, outpatient clinics with less than 10 doctor posts, including those that are part of district hospitals, children's homes and dairy kitchens, a cloakroom attendant is not introduced. At the rate of 1: For an independent medical and prophylactic institution that does not have a bed fund, with the number of medical posts; For an outpatient polyclinic unit with the number of medical posts from 25 to 75, which is part of a medical facility and located in a separate room. To an independent medical and prophylactic institution, which does not have a bed fund, with the number of medical positions exceeding To an ambulance station with the number of visits over 10 thousand per year. To the blood transfusion station, assigned to the V-IV groups according to the remuneration of managers. To the blood transfusion station, assigned to the II-III groups according to the remuneration of managers. To the blood transfusion station, assigned to the I group for the remuneration of managers. In institutions for beds, and in central regional hospitals - for beds. At blood transfusion stations with the amount of blood collected up to 3 thousand liters per year. At ambulance stations - with the number of visits per year from 20 to 40 thousand. In bureaus of forensic medical examination with the number of doctor positions from 20 to In institutions for beds, and in central district hospitals - for beds. In institutions from above in central regional hospitals - more beds additionally at the rate of 1 position per bed. At blood transfusion stations with the amount of blood procured 3 or more thousand liters per year. At ambulance stations with the number of visits per year 40 thousand or more. In total, at the rate of 1 per: Operator of electronic computers and computers. Depending on the amount of work according to technically sound standards, and in their absence - according to the standards developed by the institution by the experimental statistical method. In institutions assigned to I-II groups for the remuneration of managers, if there is a volume of work. Stove operator, greenhouse worker or gardener, territory cleaner and other workers engaged in sanitary maintenance of territories. All institutions - according to the standards of service for furnace work, according to the standard standards of service for workers engaged in sanitary maintenance of households. 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 executive compensation. Acceptor of gold of dental institutions units. It is introduced instead of the professions of workers of a stoker, bricklayer, roofer, painter, plasterer, floor polisher, carpenter, joiner, installer of internal sanitary systems and equipment, glass cleaner, electrician, when, according to the standards stipulated for each profession, workers of these professions cannot be established for individual names. An institution that has up to 50 units of rolling stock of cars, tractors, road and other machines, except for electric and car trolleys, etc. Laundry workers - a driver for washing and repairing overalls, an operator of washing machines, an ironer, etc. Professions 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. Depending on the amount of work on cross-sectoral and sectoral norms and standards. Institutions with automatic telephone exchanges - according to the standards of communications workers. Electrician for the repair and maintenance of electrical equipment. The number of employees in the health facility.

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ORDER OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION OF 09.06.2003 N 235 (REV. Of 28.01.2004) "ON THE ESTABLISHMENT OF THE COORDINATING COUNCIL OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION FOR THE PREVENTION OF HIV TRANSMISSION FROM A MOTHER TO A CHILD IN THE RUSSIAN FEDERATION OF SOCIETY OF THE MISSION" HIV INFECTION FROM MOTHER TO CHILD IN THE RUSSIAN FEDERATION ")

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MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER

ON ESTABLISHING A COORDINATION BOARD

MINISTRY OF HEALTH OF RUSSIA FOR TRANSMISSION PREVENTION

HIV INFECTION FROM MOTHER TO CHILD

IN RUSSIAN FEDERATION

In order to coordinate activities on the prevention of mother-to-child transmission of HIV infection during pregnancy, childbirth and neonatal period, as well as to increase the effectiveness of the implementation of international projects and programs in this area

I ORDER:

1. Create Coordination Council The Ministry of Health of Russia for the prevention of mother-to-child transmission of HIV in the Russian Federation, consisting of:

Sharapova Deputy Minister of Health Olga Viktorovna of the Russian Federation, Chairperson of the Korsunsky Head of the Department of Organization of Anatoly Alexandrovich of Medical Aid to Mothers and Children of the Ministry of Health of Russia, Deputy Chairperson Goliusov Head of the HIV / AIDS Prevention Department Alexander Timofeevich HIV / AIDS of the Department of State Sanitary and Epidemiological Surveillance of the Ministry of Health of Russia, Deputy Chairperson Pospelova Head of the Department Lyudmila Vasilievna obstetric and gynecological care of the Office for the organization of medical care for mothers and children of the Ministry of Health of Russia, executive secretary Board members: Aleshina, chief physician of the regional center for the prevention and control of AIDS, Kaluga (as agreed) Baklaenko adviser on protection issues Nadezhda Grigorievna reproductive health women of the Russian Federation Ministry of Health of Russia Baibarina Chief freelance neonatologist Elena Nikolaevna Ministry of Health of Russia, leading researcher Scientific Center of Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences, Professor, Doctor of Medical Sciences Baranov Leading Researcher of the Scientific Igor Ivanovich Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences, Doctor of Medical Sciences (as agreed) Voronin Chief Physician of the Republican Evgeny Evgenievich Clinical Infectious Diseases Hospital of the Ministry of Health of Russia, MD. Gasparov Chief Freelance Obstetrician-Gynecologist Alexander Sergeevich at the Central federal district, Head of the Department of Reconstructive-Plastic and Emergency Gynecology, Professor, Doctor of Medical Sciences Kulakov Chief Freelance Obstetrician-Gynecologist Vladimir Ivanovich of the Ministry of Health of Russia, Director of the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences, Vice President of the Russian Academy of Medical Sciences, Academician of the Russian Academy of Medical Sciences, Kakorina Deputy Head Ekaterina Petrovna of the Department for Organization and Development of Medical Aid to the Population - Head of the Department medical statistics and Informatics Ministry of Health of Russia Koroleva Senior Researcher of the Scientific Lyudmila Pavlovna of the Center for Obstetrics, Gynecology and Perinatology of the RAMS (as agreed) Pokrovsky Head of the Russian Vadim Valentinovich Federal Scientific and Methodological Center for the Prevention and Control of AIDS of the Ministry of Health of Russia, Academician of the RAMS Nesterenko Deputy Head of the Department Vladimir Mikhailovich pharmaceutical activities, providing medicines and medical devices Ministry of Health of Russia Rakhmanova Head of the Department of Infectious Aza Gasanovna Diseases with AIDS Course of the St. Petersburg Academy of Postgraduate Education of the Ministry of Health of Russia, Professor, Doctor of Medical Sciences Uchaikin Chief Freelance Pediatrician Vasily Fedorovich Infectious Disease Specialist of the Ministry of Health of Russia Tsaregorodtsev Chief Freelance Pediatrician of the Ministry of Health Alexander Dmitrievich of Russia, Director of the Moscow Research Institute of Pediatrics and Pediatric Surgery of the Ministry of Health of Russia, professor, MD. Bardakova UNFPA Program Coordinator in Lidia Ivanovna Russian Federation (as agreed) Vartapetova Head of the Jon Snow, Natalia Vadimovna INK Representative Office in Russia, Mother and Child Project Advisor (as agreed) Epoyan UNICEF Program Coordinator on Tigran Albertovich HIV / AIDS in Russia Federation (as agreed) Murdo Bile Deputy Program Director, AIDS Foundation East-West (as agreed) Dr. Pedro Checker UNAIDS Representative in the Russian Federation (as agreed) Semenchenko Coordinator of the WHO project to combat Marina Vladimirovna HIV / AIDS in Russia ( as agreed) Savinykh Coordinator of the HIV / AIDS Prevention Program Alexei Ivanovich of the Russian Representative Office for International Development (as agreed) Volosovets Head of the Special Education Department Tatyana Vladimirovna of the Russian Ministry of Education (as agreed) Zaitseva Senior Program Coordinator Elena Evgenievna of the Moscow Office of the American International Health Union (as agreed popping) Pisarev chief Specialist Department Alexander Mitrofanovich of cooperation with the CIS, WHO and other international organizations of the Department of International Cooperation of the Ministry of Health of Russia Savelyeva Head of the International Department Irina Sergeevna Scientific Programs of the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences (as agreed) Samarina Head of the Department Olga Viktorovna Social and Demographic Policy and Development social protection Ministry of Labor of Russia (as agreed) Yurin Leading Researcher of the Russian Oleg Geraldovich of the Federal Scientific and Methodological Center for the Prevention and Control of AIDS of the Ministry of Health of Russia, Doctor of Medical Sciences

(as amended by the Order of the Ministry of Health of the Russian Federation of 28.01.2004 N 25)

2. To approve the Regulation on the Coordination Council of the Ministry of Health of Russia on the prevention of vertical transmission of HIV infection in the Russian Federation (Appendix).

3. Control over the execution of this order shall be entrusted to the Deputy Minister of Health of the Russian Federation OV Sharapova.

YL.SHEVCHENKO

application

APPROVED BY

by order of the Ministry of Health of Russia

dated 09.06.2003 N 235

POSITION

ABOUT THE COORDINATING COUNCIL OF THE MINISTRY OF HEALTH OF RUSSIA

FOR PREVENTION OF HIV TRANSMISSION

FROM MOTHER TO CHILD IN THE RUSSIAN FEDERATION

1. General Provisions

1.1. The Coordinating Council of the Ministry of Health of Russia for the prevention of mother-to-child transmission of HIV in the Russian Federation (hereinafter the Council) is the coordinating body and is created by the Ministry of Health of the Russian Federation.

1.2. The Council includes representatives of scientific and educational medical, treatment and prophylactic institutions and structural units of the Ministry of Health of Russia. Representatives of international organizations and funds dealing with HIV / AIDS problems take part in the work of the Council.

1.3. In its activities, the Council is guided by the legislation of the Russian Federation, the regulatory legal acts of the Ministry of Health of Russia and this regulation.

1.4. The Council considers it necessary to take into account the experience of work in the field of prevention of vertical transmission of HIV infection in the Russian Federation and the recommendations of UN international organizations: UNDP, UNAIDS, UNICEF, UNFPA, etc.

2. Tasks and functions

2.1. The main task of the Council is organizational and methodological activities to implement comprehensive measures in the field of prevention of vertical transmission of HIV infection in the Russian Federation, as well as to address issues of improving medical care for pregnant women and children with HIV infection.

2.2. In accordance with its tasks, the Council performs the following functions:

- assists in the development of a strategy for the development of medical care for pregnant women and children with HIV infection, prevention of vertical transmission of HIV infection;

- prepares proposals for draft orders, instructions and methodological documents of the Ministry of Health of Russia on this problem and participates in the preparation of decisions, development of recommendations and proposals on the prevention and organization of medical care for pregnant women and children with HIV infection;

- contributes to the identification of priority areas for development to improve the efficiency of medical care for pregnant women and children with HIV;

- analyzes the organization of preventive measures and the quality of medical care for pregnant women and children with HIV infection;

- provides organizational and methodological guidance and practical assistance to heads of medical and preventive institutions, specialists in the prevention of mother-to-child transmission of HIV infection;

- prepares proposals for conducting scientific research in this region;

- develops criteria for assessing the health status of children with HIV infection;

- prepares proposals for the formation educational programs for specialists in the prevention of vertical transmission and medical care for pregnant women and children with HIV infection;

- participates in the organization of scientific and practical conferences, meetings and seminars;

- interacts with public organizationsmass media with the aim of providing information to the population, especially adolescents and youth, on the prevention of the spread of HIV / AIDS;

- participates in decision-making on the provision of psychological and social assistance to families raising HIV-infected children, HIV-infected orphans, children born to HIV-infected mothers, etc .;

- participates in and supports the implementation of international projects to prevent mother-to-child transmission of HIV infection.

3. Council rights

3.1. The Council has the right:

- to request and receive from the healthcare authorities of the constituent entities of the Russian Federation, educational and research institutions subordinate to the Ministry of Health of Russia, medical and preventive institutions materials on issues within its competence;

- to make proposals for the development of regulations, orders and other regulatory legal acts on issues within the competence of the Council;

- to hold meetings with the invitation of heads of research and educational medical institutions, as well as medical and preventive institutions and other organizations.

4. Structure and organization of the Council's activities

4.1. The Council is created and its composition is approved by the Ministry of Health of the Russian Federation.

4.2. The general management of the Council is carried out by the chairman.

4.3. The Council determines the main directions of its activities, develops work plans. Meetings of the Council are held as needed, but at least once every six months.

4.4. A meeting of the Council is considered competent if attended by at least half of its members.

The meeting of the Council is chaired by the Chairman of the Council or one of his deputies.

Order of the Ministry of Health of the Russian Federation dated 09062003 230

Decisions of the Council are adopted by a majority of votes of the members present at the meeting and are drawn up in minutes signed by the Chairman of the Council. Dissenting opinion of Council members who voted against the decision, is set out in writing and attached to the decision of the Council.

4.5. The meetings of the Council are drawn up by the minutes, which are kept by the executive secretary of the Council. The documents are formed into files and stored in the Office of the organization of medical care for mothers and children.

4.6. Each member of the Council is notified of the planned meeting no later than five days in advance.

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Job titleNumber of posts 1 2 3 1.1.1. Manager (chief physician, director, chief)1 position in each institution. In institutions with up to 30 beds, the position of the head is established instead of 1 position of a doctor, for 30 - 50 beds - instead of 0.5 position of a doctor 1.1.2. Director 1.1.3. Deputy Head for Economic Affairs1 position in institutions with 100 or more beds 1.1.4. Deputy Head for Economic Affairs1 position in institutions with 100 - 800 beds 1.1.5. 1 position:
- in institutions with up to 100 beds;
- in institutions assigned to I - II groups for the remuneration of managers 1.1.6. Head of the household1 post for each outpatient-polyclinic unit with more than 20 medical posts located in a separate building; 1 position for each inpatient department (group of departments) with the number of beds in it (in them) over 60, located in a separate building 1.1.7. Chief Accountant1 position in each accounting department. In an institution that is entitled to up to 3 positions of accounting and accountants, this position is introduced instead of the position of an accountant, over 3 to 6 - instead of 0.5 positions of an accountant 1.1.8. Deputy chief accountant, accountant, accountant-auditor, senior cashierAccording to staff standards of centralized accounting staff at health care institutions based on the indicators of this institution 1.1.9. Cashier 1.1.10. Deputy Chief Physician for Human Resources1 position in institutions assigned to I - II groups for the remuneration of managers 1.1.11. Head of HR department1 position in institutions assigned to I - II groups for the remuneration of managers; 1 position in institutions assigned to III - IV groups for the remuneration of managers - instead of one of the positions provided for in clause 1.1.12 1.1.12. HR Specialist, HR Inspector (Senior Inspector) Based on 1 position for 150 positions, but not less than 1 position in the institution 1.1.13. Head of Chancellery1 position in institutions assigned to I - II groups for the remuneration of managers 1.1.14. Clerk1 position in institutions assigned to I - IV groups for the remuneration of managers 1.1.15. Secretary-typist1 position in each institution 1.1.16. Head of the Planning and Economic Department1 position in institutions assigned to I - II groups for the remuneration of managers. In institutions assigned to the III group for the remuneration of managers, the position of the head of the planning and economic department is introduced instead of the 0.5 position of the economist 1.1.17. EconomistAt the rate of 1 position for 150 beds in institutions with up to 600 beds, but not less than 0.5 positions in institutions with up to 75 beds and 1 position in institutions with 75 or more beds. In institutions with more than 600 beds - 4 positions and an additional 1 position for every next 400 beds (over 600 beds). In health care facilities, which include outpatient clinics, feldsher-obstetric stations, health posts (medical, paramedic) with a total of more than 50 positions of medical workers in these units, an additional post of economist is introduced at the rate of 0.25 positions for 50 positions of medical workers 1.1.18. Financial Economist1 position in institutions assigned to III - V groups for the remuneration of managers, not served by centralized accounting departments; 2 positions in institutions assigned to I - II groups for the remuneration of managers, not served by centralized accounting departments 1.1.19. Library manager1 position in institutions with 360 or more beds that have libraries that can be categorized as executive pay groups. In maternity hospitals, infectious diseases and dermatovenerological institutions, this position is not established 1.1.20. Librarian1 position in institutions with 360 or more beds (CRH with 190 or more beds) with libraries that cannot be classified as managers' pay groups; 0.5 positions in children's hospitals and hospitals for war veterans with 190 - 350 beds. In maternity hospitals, infectious diseases, dermatovenerological institutions, this position is not established 1.1.21. Engineer 1 position in institutions with 360 - 600 beds; 2 positions in institutions with 601 or more beds and an additional 1 position for every 500 beds over 1000 1.1.22. Occupational safety engineer1 position in institutions with the number of employees (individuals) over 100 and additionally - according to intersectoral standards for the number of employees of the labor protection service in organizations 1.1.23. Technician1 position in institutions assigned to the V - IV groups for the remuneration of managers; 2 positions in institutions assigned to III - II groups for the remuneration of managers; 3 positions in institutions assigned to Group I for executive compensation 1.1.24. Legal advisor0.5 positions:
- in maternity hospitals with antenatal clinics with less than 5 doctor positions and a hospital for 100 - 180 beds; 1 position:
- in regional, regional, republican, district hospitals;
- narcological and neuropsychiatric dispensaries of republican, district, regional, regional, city (cities with a population of over 800 thousand) subordination; dermatovenerologic dispensaries of city subordination, serving at least 200 thousand people; in the absence of a neuropsychiatric dispensary, this position is established in one of the psychiatric hospitals with 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 and more thousand 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 posts in the antenatal clinic, this post is introduced if there are at least 190 beds in the hospital. 1.1.25. Laundry manager1 position in institutions who are entitled to at least 6 laundry workers 1.1.26. Warehouse Manager1 position per warehouse instead of the position of storekeeper, but no more than 4 positions per institution 1.1.27. Procurement agent 1 position in institutions assigned to III - V groups for the remuneration of managers; 2 positions in institutions assigned to I - II groups for the remuneration of managers 1.1.28. Garage manager1 position if there are more than 25 units of rolling stock in the garage of the institution (cars, tractors, road and other machines), except for electric and car trolleys, etc. funds 1.1.29. Garage mechanic1 position if there are 15 - 25 units of rolling stock in the garage of the institution (cars, tractors, road and other machines), except for electric and car trolleys, etc. funds 1.1.30. Path manager 1 - 2 positions in the presence of 15 - 25 units of rolling stock (cars, tractors, road and other machines) in the garage of the institution, except for electric and car trolleys, etc. funds 1.1.31. TypistAt the rate of 1 position per 8000 typewritten sheets of service documentation per year

N p / p	Job title	Number of posts
1	2	3
1.6.1.	Manager	1 position in each institution. In pharmacies serving up to 150 beds, the position of the manager is established instead of 1 position of the pharmacist, over 150 to 250 beds - instead of the 0.5 position of the pharmacist. In control and analytical laboratories assigned to the V group for the remuneration of managers, the position of the head is established instead of 1 position of the pharmacist, in laboratories assigned to the IV group - instead of the 0.5 position of the pharmacist
1.6.2.	Chief Accountant	1 position in institutions assigned to I - III groups for the remuneration of managers
1.6.3.	Accountant	0.5 positions in pharmacies assigned to Group V for executive salaries; in control and analytical laboratories and centers for quality control and certification of medicines assigned to IV - V groups for the remuneration of managers; 1 position in pharmacies assigned to III - IV groups for executive salaries; in control and analytical laboratories and centers for quality control and certification of medicines assigned to the III group in terms of remuneration of managers; 2 positions in pharmacies, assigned to the II group for the remuneration of managers; control and analytical laboratories and centers for quality control and certification of medicines assigned to I - II groups for the remuneration of managers; 3 positions in pharmacies assigned to Group I for executive compensation
1.6.3.	Head of the economic department	1 position in institutions assigned to I - II groups for the remuneration of managers
1.6.4.	Head of the household	1 position in institutions assigned to III - V groups for the remuneration of managers

2. Positions of employees and professions of workers, introduced depending on the organizational and technical conditions of the functioning of institutions

2.1. Employee positions

N p / p	Job title	Number of posts
1	2	3
2.1.1.	Deputy Head of Engineering	1 position in medical and preventive establishments assigned to I - II groups for the remuneration of managers, equipped with complex medical and other equipment, apparatus and facilities
2.1.2.	Chief mechanical engineer	1 position: - medical and prophylactic institutions that have beds, assigned to groups I - II for the 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 the I group in terms of remuneration of managers
2.1.3.	Chief Power Engineer	1 position: - medical and prophylactic institutions that have a bed fund, assigned to group I for the remuneration of managers in the presence of an energy sector; - blood transfusion stations assigned to the I group 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 the I group 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 for the remuneration of managers. In this case, one position of the head of each service can be introduced: - plumbing - with an average daily water supply and an average daily amount of liquid discharged through the sewage network of at least 4 thousand cubic meters. m; - gas - if the volume of work of the gas facilities exceeds 500 conventional units; - lift - if there are at least 45 lifts; - 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 inexpedient to introduce the positions of chiefs for individual services, the positions of chiefs for joint services may be introduced
2.1.6.	Head of repair service	1 position in medical and prophylactic institutions assigned to Group I for the remuneration of managers, in which the positions of chiefs of services are not introduced
2.1.7.	Head of technical department	1 position in medical and prophylactic 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 II - IV groups according to the remuneration of managers; - ambulance stations with at least 50 thousand departures per year, with radiotelephone communication
2.1.8.	Head of Procurement Department	1 position: - in the institutions provided for in clauses 1.1 and 1.2, assigned to I - IV groups for the remuneration of managers; - in blood transfusion stations processing 15 thousand and more liters of plasma per year in the production of fractionation of plasma proteins
2.1.9.	Head of the central warehouse	1 position in the institutions that organize the central warehouse - instead of the position of 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 mechanization, etc. if it is impossible to carry it out by the available engineering and technical personnel
2.1.11.	Metrology engineer	1 position in medical and preventive establishments assigned to I - II groups for the remuneration of managers. If the healthcare system of the constituent entities of the Russian Federation has two or more regional, territorial, 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 - in accordance with relevant cross-sectoral and sectoral norms and labor standards
2.1.13.	Service engineers and technicians: plumbing, gas, elevator, air conditioning and heating, repair, energy	All institutions comply with the relevant cross-sectoral and sectoral norms and labor standards. In cases of inappropriateness of the introduction of positions of engineering and technical workers of separate 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)	Institutions with more than 50 units of rolling stock (cars, tractors, road and other machines), except for electric and motor carts, etc. funds - according to the standards for employees of motor transport enterprises
2.1.16.	Servants for the maintenance of electronic computers, special marine and river vessels, meteorological stations and posts, vivariums, as well as for the manufacture of koumiss	Institutions with appropriate units and equipment - according to the standards in force in the relevant sectors of the economy

In the staffing table of the institution, vacancies are indicated by their basic name, for example, accountant, economist, engineer.

The titles 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 general industry positions of employees, for example, a specialist (economist, accountant, engineer) with a higher professional education and work experience as an economist for 4 years, in the staffing table of the institution, the position will be called an economist of the II category, etc.

3. Whole or 0.25, 0.5 and 0.75 positions (units) can be entered into the staffing tables, when calculating them, the total figures less than 0.13 are discarded, the numbers 0.13 - 0.37 are rounded to 0.25, figures 0.38 - 0.62 are rounded to 0.5, figures 0.63 - 0.87 are rounded to 0.75, and above 0.87 - to one. If for several names 0.25, 0.5 or 0.75 positions (units) are formed, it is allowed to combine them by categories of personnel (employees, workers) according to one of the combined names with the performance of functions for all the combined positions (professions).

Appendix N 2

STAFF STANDARDS OF CENTRALIZED ACCOUNTING OFFICES 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 is supposed to be in accordance with clauses 4-8 of these staff standards:

From 5 to 10 positions of accountants - 1 position;

From 11 and above positions of accountants - 2 positions.

2.2. Additionally, the position of the deputy chief accountant can be introduced in institutions that carry out operations in tax and statistical accounting.

5. Positions of accountants for accounting of material values \u200b\u200bare established at the rate of 1 position for:

300 beds in medical and prophylactic institutions with bed capacity, and places in children's homes;

100 medical posts in institutions without bed capacity.

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 institutions served.

7. The positions of financial accountants are established at the rate of 1 position for:

150 positions of doctors in the institutions served.

Additionally, the positions of financial accountants are established:

7.1. 1 position in the execution of cash transactions through the treasury system.

7.2. 1 position for working 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 working in the compulsory health insurance system.

7.4. 1 position in servicing blood transfusion stations assigned to III - IV groups, and 2 positions - to I - II groups for the remuneration of managers.

7.5. At the rate of 1 position per 100 thousand visits per year in the served ambulance stations.

7.6. 0.5 positions in servicing the centers of state sanitary and epidemiological supervision, attributed to III - IV groups, and 1 position - to I - II groups 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 when servicing dairy kitchens with a daily throughput of 1 to 5 thousand portions, 1 position - over 5 to 7 thousand portions and 1.5 positions - over 7 thousand portions.

8. The positions of accountants-auditors are established:

8.1. 1 position - when serving less than 10 institutions with more than 300 beds (in total) and (or) 60 positions of doctors (in total).

2 positions - at least 15 institutions with more than 750 beds (in total) and (or) 150 positions of doctors (in total).

8.2. 1 position - when servicing ambulance stations with more than 100 thousand visits per year.