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When and to whom is a quota issued for free eye cataract surgery - all stages of obtaining a quota. How long to wait for a quota for an operation How long to wait in line for an operation

Sometimes situations arise when a seriously ill patient needs high-tech medical care, but does not have the necessary financial resources. It is for this category of citizens that the quota is designed - a document through which, at the expense of state appropriations, the patient is provided surgery.

This document applies only to government agencies.

What operations can you get a quota for - the main types of diseases that give you the right to receive a free quota

All points regarding the provision of quotas to the population for treatment are prescribed in Order of the Russian Ministry of Health of December 29, 2014 (No. 930n).

The list of ailments for which a patient can receive a quota is very long. You can find out more about this list from your doctor, or search online sources - Appendix 4 to the Order of the Ministry of Health and Social Development.

Quotas for treatment are provided only disabled people ! Those who do not have a group must first undergo a Medical and Social Examination.

In general terms, the pathologies for which benefits for surgical intervention are requested from the state can be characterized as follows:

Serious disruptions internal organs, which requires their transplantation.
Various
Carrying out manipulations on open heart.
Errors in the functioning of the brain, which can be eliminated through surgery.
Congenital pathologies, diseases endocrine system, leukemia.
Surgical procedures on the spine.
Violation of the functions of the visual organs.

In the above mentioned Order of the Ministry of Health and Social Development there is a column about emergency situations.

For example, if a patient has an extensive myocardial infarction that requires the installation of a stent, but relatives cannot give the clinic guarantees about payment for this very operation, the administration of this medical institution does not have the right to refuse hospitalization.

The patient is required to provide necessary help with further informing the health authority (at the place of registration) about the procedures performed.

Full list therapeutic measures is formalized, and in the future the clinic is paid money for the work performed.

Preparatory examination for obtaining a quota - where to undergo a medical examination?

To obtain the quota in question, patients with a serious illness should visit several medical commissions:

1. Commission at the clinic at the place of registration

Here the relevant specialist prescribes an examination, after which a meeting of the first commission is held. At positive result the patient is given a document signed by the head physician of the clinic stating that the patient needs high-tech treatment. An extract from the medical history is attached to this document.

2.Commission of the regional health department

If the decision is made in favor of the patient, he is provided with a document-coupon with detailed information about the diagnosis and medical history.

3. Commission at the medical institution where they plan to provide treatment

The main points that are clarified during the meeting:

Is this institution capable of providing the patient with the necessary medical care?
Does the patient have any contraindications to hospitalization?

List of documents for obtaining a quota for a free operation

When planning to begin the procedure upon receiving a quota for surgical treatment, the patient should prepare the following documents:

Statement , which contains the patient’s full name, home address, contact phone number, Email(if any), series and number of passport/birth certificate.
Written consent to the processing of personal data .
Photocopy of passport or birth certificate (if the patient is under 14 years of age).
Extract from medical card patient about the history of his illness. This document is issued by the clinic at the place of residence on behalf of the head physician.
Results of hardware and laboratory tests , on the basis of which the diagnosis was established. According to regulations Russia, the patient has the right to keep the originals of these documents, and the commission is provided with copies.
Photocopy of compulsory health insurance and/or pension insurance policy . This applies to patients who have such evidence. In the absence of policies, the package necessary documents comes without them.

If the patient does not have the opportunity to personally prepare and submit documents, and uses the services legal representative, to the list discussed above are additionally attached:

A copy of the legal representative's passport.
Statement on his behalf.
Official confirmation of representation. It may also be a duly certified power of attorney.

Instructions for obtaining a quota from the Department of Health - where to go and what will be needed?

The procedure in question is as follows:

Visiting your doctor (at the clinic at the place of registration). The doctor decides what tests need to be taken and writes out a referral for diagnostics.
Execution of an extract from the medical history by the doctor mentioned above. The results of the survey are also included here. The specified document must be certified by the signature of the head physician and the seal of the medical institution.
Sending the prepared set of documentation to the local health department. This is done by the clinic staff upon completion of the medical examination. It would not hurt the patient to clarify and remember the date of dispatch. If a negative decision is made, the applicant is given a protocol explaining the reasons for the refusal.
The Department of Health makes a decision on issuing a quota. In some cases, this procedure requires the patient’s personal presence, but often they do without it. This all takes 10 working days: after this period, the applicant must contact his clinic and find out about the answer. In emergency situations, when surgical intervention must be performed urgently, the attending physician attaches a corresponding note to the package of documents: this speeds up the process of obtaining a quota.
Sending documents to a specialized clinic. Often the patient has to wait in line for hospitalization. The date of appearance at the medical institution can be found on the website talon.gasurf.ru. Upon hospitalization, the patient must present originals medical documents.

Instructions for obtaining a quota in the clinic through the quota committee

This method of obtaining a quota is more preferable: the patient can personally choose a medical center for treatment, and the procedure itself lasts, on average, 2 weeks.

The algorithm of actions in this situation is as follows:

After receiving the necessary package of documents from the clinic at the place of registration with a positive decision of the commission, the patient independently looks for an institution where he will be provided high-tech treatment.
Specialists from the specified medical institution consider the patient’s request, convene a “quota committee”, which considers the possibility of hospitalization under a quota.
An officially issued decision, along with a list of other documents, is sent to the local health department.

Queue for quota surgery – what do you need to remember?

Those who are planning to receive a quota for surgical treatment need to remember the following points:

It is better to start the procedure for obtaining a coupon at the beginning of the year. These days there are quite a lot of seriously ill patients who need urgent operations: quotas run out quickly.
You can find out how the queue is progressing on special websites (one of them has already been mentioned above) or in the clinic where assistance will be provided.
You can find out about the availability of quotas from your local health department or medical facility. , where high-tech treatment will be carried out. Each such institution has its own quota department, where specialists will tell you whether there are still coupons for free operations and how many are left.
If surgery is needed urgently , and the quotas have ended, the patient can pay all expenses, and in the future - submit a set of documents to the health department. In this way, you can offset the costs of treatment.
In difficult situations, when surgery is urgently needed and there is a quota, the clinic has no right to refuse help. In other cases, patients will wait their turn: the legislation does not provide for any benefits to help speed up the provision of treatment.

The most popular questions about obtaining quotas for free surgery - answered by specialists

— What is the best way to get a quota - in the department or through the clinic?

— It is definitely better to receive a quota through the clinic: the patient will have the opportunity to personally familiarize himself with the institutions, and processing the request will take less time than carrying out the same procedure through the department.

— How to find out about the availability of quotas and what to do if there are no longer quotas for the operation?

— Vouchers for free surgical intervention are distributed among several medical institutions. If some institutions have run out of them, this does not mean that the opportunity to get the help you need lost as soon as possible.

You can find out exactly how many quotas remain and which clinics have them at your local health department.

If quotas have expired, the patient must still go through the procedure for obtaining them. If the answer is positive, they are put on a waiting list.

Applicants will receive the long-awaited quota as soon as the state allocates a new portion of coupons.

— What may be charged for during a free operation under a quota?

— If the medical institution where the operation will take place is located in another city, the patient must pay for travel independently. Although these expenses may be covered by a mandatory insurance policy health insurance.

To receive a free travel voucher, you need to contact the Foundation with a package of documents.

In addition, the quota is not always completely free. For some nuances of treatment, the patient will have to pay out of his own pocket.

In this article you will learn where and how to get a quota for surgery in 2019 and what is included in it. Other issues related to quotas will also be considered.

Treatment of some diseases can be so complex and expensive that a person cannot organize and pay for it himself. However, any citizen of the Russian Federation receives a guarantee from the state, which is written down in the Basic Law. It is ensured by quotas for special medical services.

You just need to know how the quota for treatment in 2019 is obtained. This is a complex process that is regulated by law.

What are quotas and who are entitled to them?

It must be assumed that a certain type of treatment ( surgical intervention) can only be provided by a healthcare institution that is provided with:

1) professional personnel;

2) special equipment.

Such clinics are provided with additional funding for development. Money is allocated from the state budget so that doctors can save lives in very difficult situations. There are just not that many hospitals yet.

If you understand this, then it will become clear to you how to obtain quotas for operations. Quota issues are dealt with exclusively government bodies. Each stage is in regulatory framework. In this case, there can be no deviations from compliance with the law.

It turns out that the quota is the allocation of state support to citizens who need special treatment, within the framework of General Compulsory Health Insurance (CHI).

Queue for quota for surgery and treatment

Where can I see the queue for a quota for an operation? How to find out the waiting list for a treatment quota? Further in the article you will learn everything step by step.

But before you get in line for registration free quotas for surgery, please note that only people with disabilities receive them. That is, if you do not have any group, then undergo a medical social examination.

If the patient has a disability, he should find out from the medical institution where he is being treated what documents are needed for the quota for free surgery.

How long you need to wait for a quota depends on the quota treatment limit in a particular medical institution (the state distributes a specific number of quotas at the beginning of the year). Now you are informed how long to wait for the quota for the operation and to whom it is given.

How to apply for a quota for surgery in Moscow?

As already mentioned, this year VMP is provided to citizens of the Russian Federation mainly at the expense of funds from the General Compulsory Medical Insurance (CHI). In practice, this means that most people will be treated at their place of residence. And the patient will be sent to other regions, for example, to Moscow, only in extreme cases. Read on to learn more about the quota scheme.

Laws relating to quotas

Some government documents fully describe the stages of allocation and use of quotas. These include:

1) orders of the Ministry of Health of the Russian Federation, which specify the quota process;

2) regulations that guarantee free medical care to citizens of our country;

3) Federal Law No. 323. Its article 34 describes the process of issuing quotas, as well as the conditions for the implementation of these state guarantees.

Funding issue medical care is in the department of the specified ministry. Only this government agency has the right to decide how many quotas there will be this year and in which health care institution they can be used. Such resolutions are issued by him regularly.

Diseases subject to quotas

Of course, they are not allocated by the state cash to rid citizens of all their ailments. To obtain a quota, you need good reasons.

The Ministry of Health has published a document containing a list of diseases that can be treated with public money. The list of diseases for treatment under the quota in 2019 contains up to 140 names of diseases.

Document

FULL NAME.

the patient, his date of birth, registration address;

Attached to the direction:

copy compulsory medical insurance policy;

Step 3.

Urology:

Gynecology:

Abdominal surgery:

Colorectal surgery:

Thoracic surgery:

Head and neck:

Obtaining a quota for high-tech medical care

Before release Federal Law « On the basics of protecting the health of citizens in Russian Federation » the procedure for referring patients to high-tech medical care (issuing quotas for high-tech medical care) was approved every year by the Ministry of Health and social development. Released in 2012 new order, which will be valid indefinitely.

Last year, in order to receive a quota for VMP, a citizen had to apply directly to the regional health authority (department, committee, ministry), having in hand an extract from medical documentation, which includes recommendations for obtaining VMP, and a number of other documents (copies of passport, compulsory medical insurance policy and pension certificate). The structure of the health authority provided for the corresponding commission of the constituent entity of the Russian Federation for the selection of patients for the provision of medical care, which made a decision within 10 working days from the date of application.

Now, in accordance with the procedure approved by Order of the Ministry of Health and Social Development of December 28, 2011 No. 1689n, the procedure has partially changed.

Quotas for high-tech medical care

Let's take a closer look at the procedure for obtaining a quota.

The decision to grant a quota is made by the Commission of the health authority of the constituent entity of the Russian Federation for the selection of patients for the provision of VMT.

However, now the selection of patients and their referral to this commission is carried out by the medical commissions of those medical organizations in which patients are treated and observed, on the recommendation of the attending physician based on an extract from the patient’s medical records.

An extract from the patient's medical records, drawn up by the attending physician, must contain a diagnosis of the disease (condition), a diagnosis code according to the ICD, information about the patient's health status, diagnosis and treatment, and recommendations on the need for VMP. It is accompanied by the results of laboratory, instrumental and other types of studies on the profile of the patient’s disease, confirming the established diagnosis.

The medical commission, within three working days from the date of receipt of the extract, reviews it and makes a decision on sending or refusing to send the patient’s documents to the Commission of the constituent entity of the Russian Federation to resolve the issue of the need to provide him with VMP. The decision of the Medical Commission is documented in a protocol.

The criterion for making a decision by the medical commission is the presence of medical indications for the provision of VMP in accordance with the list of types of VMP.

If the medical commission makes a decision to send the patient’s documents to the Commission of a constituent entity of the Russian Federation, within three working days it generates and sends a set of documents to the health authorities. In this case, the patient has the right to receive a protocol of the decision of the medical commission and an extract from the medical documentation in hand in order to independently take the documents to the health authorities.

If the medical commission decides to refuse, then the patient is given a protocol of the decision indicating the reasons for the refusal and an extract from the medical documentation.

The set of documents sent to the Commission of a constituent entity of the Russian Federation must contain:

An extract from the protocol of the decision of the Medical Commission.
A written statement from the patient (his legal representative, proxy), containing the following information about the patient:

information about place of residence,

Consent to the processing of personal data of a citizen (patient).

Copies of the following documents:

passport of a citizen of the Russian Federation,
patient's birth certificate (for children under 14 years of age),
compulsory medical insurance policy for the patient (if available),
certificate of compulsory pension insurance of the patient (if available),
an extract from the patient’s medical records signed by the head of the medical organization at the place of treatment and observation of the patient,
results of laboratory, instrumental and other types of studies confirming the established diagnosis.

In the case of an application on behalf of the patient by the patient’s legal representative (authorized person):

The written application additionally indicates information about the legal representative (authorized representative):

last name, first name, patronymic (if available),
information about place of residence,
details of the document proving identity and citizenship,
postal address for sending written responses and notifications,
contact phone number (if available),
email address (if available).

In addition to the patient's written request, the following must be attached:

a copy of the passport of the patient’s legal representative (patient’s proxy),
a copy of a document confirming the powers of the patient’s legal representative, or a power of attorney certified in accordance with the procedure established by the legislation of the Russian Federation in the name of the patient’s authorized representative.

The commission of a constituent entity of the Russian Federation resolves the issue no later than 10 working days from the date of receipt of the documents. Based on the results of reviewing the documents, one of the following decisions is made:

On the availability of medical indications for referring the patient to a medical organization for the provision of VMP. In this case, the chairman of the commission ensures that the patient is issued a coupon for the provision of VMP (form N 025/u-VMP) within 3 working days, as well as agrees on the expected date of hospitalization with the medical organization for which the quota is requested. After this, the patient is referred for treatment.
About the absence of medical indications for referring the patient to a medical organization for the provision of VMP.
On the availability of medical indications for referring the patient to a medical organization for the purpose of additional examination. In this case, the health authority ensures that the patient is referred for the necessary examinations.
On the availability of medical indications for referring the patient to a medical organization for the provision of specialized medical care. In this case, the health authority also ensures that the patient is referred for treatment to the appropriate medical organization.

In addition to local health authorities, a quota can be obtained by submitting a written application to the Ministry of Health and Social Development of Russia, but this is allowed only in cases where:

the patient does not live on the territory of the Russian Federation;
the patient is not registered at his place of residence;
The health authority of a constituent entity of the Russian Federation did not ensure the patient was referred to medical organizations to provide VMP.

Hospitalization is carried out by decision of the commission of the medical organization providing medical treatment. This decision is made no later than 10 working days on the basis of a coupon for the provision of medical care with electronic attachment of documents from the above list.

By phone All-Russian free 24/7 hotline for cancer patients and their loved ones 8-800 100-0191 you can get legal advice on issues related to receiving medical care, including the procedure for obtaining quotas for VMP.

Anton Radus, legal consultant of the Clear Morning Project

Regulations:

On approval of the procedure for sending citizens of the Russian Federation to provide high-tech medical care at the expense of budgetary allocations provided for in the federal budget to the Ministry of Health and Social Development of the Russian Federation, using a specialized information system
Order of the Ministry of Health and Social Development of the Russian Federation of December 28, 2011 No. 1689n

On approval of the list of types of high-tech medical care
Order of the Ministry of Health of the Russian Federation dated December 29, 2012 No. 1629n

How to get a VMP quota?

Discovering that you have a disease that requires high-tech surgical intervention is a common story. Such an intervention can be performed using minimally invasive surgery using the da Vinci robotic platform. The basis of the method is surgery using pinpoint punctures in tissues or through natural physiological openings, which avoids large postoperative marks.

It may seem to you that it is extremely difficult to obtain funding from the budget for high-tech assistance, however, there is this chance, and the number of operations performed under the quota is growing every year. According to official data, expenses for VMP grow by 20% annually, and the quantitative indicator of operations performed over the past 10 years has increased 15 times.

Speaking at SPIEF 2018, Minister of Health Veronika Skvortsova reported on the increased availability of high-tech medical care (HTMC): “We have significantly increased the volume of high-tech medical care, starting with 60 patients 10 years ago, and now it is more than 1 million according to last year’s results,” - said the Minister

An operation using the da Vinci robotic platform is expensive, but any patient in need has the right to receive a state quota for such an operation.

We bring to your attention answers to questions that applicants have.

Who is eligible for free high-tech surgery?

Any citizen of the Russian Federation in need can benefit from free medical care. This is stated in the Decree of the Government of the Russian Federation dated December 8, 2017 N 1492 “On the Program of State Guarantees for the provision of free medical care to citizens for 2018 and for the planning period of 2019 and 2020.” This document is adopted annually.

Document

Order of the Ministry of Health and Social Development No. 1248n dated December 31, 2010 regulates the procedure for providing High-Tech Medical Care (HMC) to citizens of the Russian Federation at public expense. According to this order, every ordinary citizen of the Russian Federation has the right to receive funding for an operation from the state if necessary.

Which institutions deal with the issue of quotas?

All issues of obtaining funding for High-Tech Medical Care (HTMC) from the federal budget are regulated by the Ministry of Health.

What diseases are covered by the quota program?

The list of diseases for which a patient can count on state support is approved annually by order of the Ministry of Health of the Russian Federation.

The types of assistance that can be provided using the da Vinci robot can be viewed here.

Which institutions have the right to provide High-Tech Medical Care (HMC)?

A medical institution providing High-Tech Medical Care under state quotas must have an appropriate license. All clinics on our list that have the da Vinci robotic system in their arsenal have such a document.

Are there any age restrictions for the patient?

There is no age limit for minimally invasive surgery using the da Vinci robot.

What steps must be taken in the process of obtaining quota for gold standard surgery?

Step 1. Contact your doctor.

First of all, the patient should contact the attending physician to obtain a referral for hospitalization, registration necessary documents and forwarding them for consideration to the competent organization. The attending physician of the medical organization in which the patient is being diagnosed and treated determines the presence of medical indications for the provision of VMP and, if there are medical indications, issues a referral for hospitalization. The presence of medical indications is confirmed by the decision of the medical commission of the medical organization, which is documented in a protocol and entered into the patient’s medical documentation. If there are medical indications, the attending physician issues a referral for hospitalization.

Requirements for making a referral for hospitalization:

The referral must be completed on the letterhead of the referring medical organization legibly by hand or in printed form, certified by the personal signatures of the attending physician and the head of the medical organization, as well as the seals of the attending physician and medical organization, and contain the following information:

compulsory medical insurance policy number and name of the medical insurance organization;
insurance certificate of compulsory pension insurance;
diagnosis code of the underlying disease in accordance with the international classification of diseases;
profile and name of the type of VMP;
name of the medical organization to which the patient is sent;
FULL NAME. and the position of the attending physician, if available - his telephone number and email address.

Attached to the direction:

an extract from the medical documentation indicating the diagnosis of the disease, the disease code according to the international classification of diseases, information about the state of health, the results of special medical research. The extract must be certified by the personal signatures of the attending physician and the head of the medical organization;
a copy of the patient’s identification document or a copy of the birth certificate (for children under 14 years of age);
a copy of the compulsory medical insurance policy;
a copy of the insurance certificate of compulsory pension insurance (if available);
consent to the processing of personal data.

The head of the referring medical organization or another employee of the medical organization authorized by the head transfers a referral for hospitalization:

— to the receiving medical organization, if VMP is included in the basic compulsory medical insurance program (clause 15.1 of the Procedure);

- to the executive body of the constituent entity of the Russian Federation in the field of healthcare (OHC), if VMP is not included in the basic compulsory medical insurance program.

Important: The patient or his legal representative has the right to submit a completed package of documents independently. This will speed up the collection and provision of the documentation necessary to obtain VMP.

Step 2. You must wait for the VMP coupon to be issued.

There are 2 options for issuing a ticket:

If the patient is referred to the provision of medical care included in the basic compulsory medical insurance program, then the issuance of a coupon with a set of documents attached, specified in step 1, is provided by the receiving medical organization.
If the patient is referred to the provision of primary care that is not included in the basic compulsory medical insurance program, the registration of a coupon and the conclusion of the commission of the executive body of the constituent entity of the Russian Federation in the field of healthcare for the selection of patients for the provision of primary care (the OHC commission) is provided by the OHC.

How to get a quota for surgery and treatment in 2018

The decision of the OHC commission is formalized in a protocol, which must contain a conclusion on the indications for referral to VMP or on the need for additional examination.

Note: An extract from the protocol of the decision of the OHC commission is sent to the referring medical organization, and is also handed over to the patient (his legal representative) upon written application or sent to the patient (his legal representative) via postal and (or) electronic communication.

Step 3.It is necessary to wait for the decision of the commission of the medical organization providing VMP.

The commission makes a decision on the presence (absence) of medical indications or the presence of medical contraindications for hospitalization of the patient within seven working days from the date of issuing a coupon for the provision of medical treatment.

The decision is formalized in a protocol containing a conclusion on the presence of medical indications and the planned date of hospitalization of the patient, on the absence of medical indications for hospitalization, on the need for additional examination, on the presence of medical indications for referring the patient to a medical organization for the provision of specialized medical care, on the presence of medical contraindications for hospitalization of the patient to a medical organization providing medical care.

Step 4. Upon completion of VMP, receive recommendations.

Based on the results of providing VMP, medical organizations give recommendations on further observation and (or) treatment and medical rehabilitation with the preparation of appropriate entries in the patient’s medical records.

Note: In case of dissatisfaction with the quality of medical care, the patient has the right to contact local authorities health departments or territorial bodies of Roszdravnadzor.

What should applicants for the da Vinci robotic surgery quota take into account?

The number of quotas is disproportionately less than the number of patients in need of surgery. The classic direct path to obtaining quotas usually takes time.

Where can I find out if there are quotas for High-Tech Medical Care?

The Ministry of Health annually approves the number of quotas for VMP and other types of treatment. All quotas are distributed among medical institutions licensed to provide such care. Information about how many quotas remain can be found from two sources. One of them is the Department of Health, the other is the clinic where you want to get VMP.

In any clinic that provides treatment under state quotas, there is always a person responsible for quotas, or there may even be an entire quota department. This is where you should contact regarding quota availability.

How many high-tech operations using the da Vinci robot are performed per year, is there a chance to get help?

In 2017, a total of 2,421 operations were performed using a robotic system. Of these, only 5% was paid for by private individuals; the rest were financed through quotas.

If a medical center is equipped with a da Vinci system, does this mean that medical center is it possible to get all types of operations?

The use of a robotic system makes it possible to perform complex interventions in urology, general surgery, gynecology, thoracic surgery, colorectal surgery and on the head and neck organs. Although the list of operations is quite wide, 70% of all interventions are performed in Urology, and robot-assisted prostatectomy is the gold standard in the world for the treatment of prostate cancer. It is important to understand that each clinic develops separate areas. There are multidisciplinary centers where surgical interventions using da Vinci are carried out in different areas, and there are centers specializing in one thing. For example, GBUZ MO "MONIIAG" specializes in gynecology, and all operations are performed only in this area.

Which medical institutions in Russia provide VMP using the da Vinci robot?

A list of medical institutions that perform surgical interventions using the da Vinci robot is presented on our website, in the “Clinics” section. There you can find out the address and telephone number of the reception of each medical center.

List of operations that are performed using the da Vinci robot-assisted system in Russia:

Urology: Radical prostatectomy, adenomectomy, kidney resection; autotransplantation; allotransplantation, Nephrectomy, Adrenalectomy, Cystectomy, Resection Bladder, LMS plastic surgery, Ureteroanastomosis; Ureterocystoanastamosis, Abdominal testicular resection, Pyelolithotomy, Varicocelectomy.

Gynecology: Hysterectomy, Extirpation of the uterus with appendages; Extirpation of the uterus with tubes, Extirpation with lymphadenectomy, Oophorectomy, Panhysterectomy, Myoimectomy, Curettage, Resection of endometriosis, Transposition of the ovaries, Sacrocolpopexy, Retropubic colpo-urethrosuspension (Burch operation), Salpingectomy.

Abdominal surgery: Hepatectomy, Liver resection, Pancreatectomy, Fundoplication, Cardiomyotomy, Adrenalectomy, PDR (Pancreaticoduodenectomy), Cholecystectomy, Selective arterial embolization or partial pancreaticoduodenectomy, Gastrectomy, Nissen fundoplication, Toupet fundoplication, Gastropolypectomy, Splenectomy, Aneurysm repair abdominal aorta.

Colorectal surgery: Resection of the rectum (anterior and low anterior), BAR (Abdominal-anal resection), Hemicolectomy (left-sided, right-sided), Sigmoidectomy, Colectomy.

Thoracic surgery: Segmentectomy, Lobectomy, Bilobectomy, Regional resection, Mediastinal resection.

Head and neck: Glossectomy, Thymectomy, Theriodectomy, Hemithyroidectomy, Resection of the thyroid isthmus.

How to get a VMP quota?

An operation using the da Vinci robotic platform is expensive, but any patient in need has the right to receive a state quota for such an operation.

We bring to your attention answers to questions that applicants have.

Who is eligible for free high-tech surgery?

Document

Which institutions deal with the issue of quotas?

All issues of obtaining funding for High-Tech Medical Care (HTMC) from the federal budget are regulated by the Ministry of Health.

What diseases are covered by the quota program?

The list of diseases for which a patient can count on state support is approved annually by order of the Ministry of Health of the Russian Federation.

The types of assistance that can be provided using the da Vinci robot can be viewed here.

Which institutions have the right to provide High-Tech Medical Care (HMC)?

Are there any age restrictions for the patient?

There is no age limit for minimally invasive surgery using the da Vinci robot.

What steps must be taken in the process of obtaining quota for gold standard surgery?

Step 1. Contact your doctor.

First of all, the patient should contact the attending physician to receive a referral for hospitalization, prepare the necessary documents and send them for review to a competent organization. The attending physician of the medical organization in which the patient is being diagnosed and treated determines the presence of medical indications for the provision of VMP and, if there are medical indications, issues a referral for hospitalization. The presence of medical indications is confirmed by the decision of the medical commission of the medical organization, which is documented in a protocol and entered into the patient’s medical documentation. If there are medical indications, the attending physician issues a referral for hospitalization.

Requirements for making a referral for hospitalization:

FULL NAME. the patient, his date of birth, registration address;
compulsory medical insurance policy number and name of the medical insurance organization;
insurance certificate of compulsory pension insurance;
diagnosis code of the underlying disease in accordance with the international classification of diseases;
profile and name of the type of VMP;
name of the medical organization to which the patient is sent;
FULL NAME. and the position of the attending physician, if available - his telephone number and email address.

Attached to the direction:

an extract from the medical documentation indicating the diagnosis of the disease, the disease code according to the international classification of diseases, information about the state of health, the results of special medical studies. The extract must be certified by the personal signatures of the attending physician and the head of the medical organization;
a copy of the patient’s identification document or a copy of the birth certificate (for children under 14 years of age);
a copy of the compulsory medical insurance policy;
a copy of the insurance certificate of compulsory pension insurance (if available);
consent to the processing of personal data.

The head of the referring medical organization or another employee of the medical organization authorized by the head transfers a referral for hospitalization:

— to the receiving medical organization, if VMP is included in the basic compulsory medical insurance program (clause 15.1 of the Procedure);

- to the executive body of the constituent entity of the Russian Federation in the field of healthcare (OHC), if VMP is not included in the basic compulsory medical insurance program.

Step 2.

Protection from extradition

You need to wait for the VMP coupon to be issued.

There are 2 options for issuing a ticket:

If the patient is referred to the provision of medical care included in the basic compulsory medical insurance program, then the issuance of a coupon with a set of documents attached, specified in step 1, is provided by the receiving medical organization.
If the patient is referred to the provision of primary care that is not included in the basic compulsory medical insurance program, the registration of a coupon and the conclusion of the commission of the executive body of the constituent entity of the Russian Federation in the field of healthcare for the selection of patients for the provision of primary care (the OHC commission) is provided by the OHC.

The OHC commission makes a decision on the presence or absence of indications for referring the patient to the receiving medical organization within 10 working days from the date of receipt of the full package of documents. The decision of the OHC commission is formalized in a protocol, which must contain a conclusion on the indications for referral to VMP or on the need for additional examination.

Step 3.It is necessary to wait for the decision of the commission of the medical organization providing VMP.

Step 4. Upon completion of VMP, receive recommendations.

Based on the results of the provision of medical treatment, medical organizations provide recommendations for further observation and (or) treatment and medical rehabilitation with the preparation of appropriate entries in the patient’s medical records.

Note: In case of dissatisfaction with the quality of medical care, the patient has the right to contact local health authorities or territorial bodies of Roszdravnadzor.

What should applicants for the da Vinci robotic surgery quota take into account?

The number of quotas is disproportionately less than the number of patients in need of surgery. The classic direct path to obtaining quotas usually takes time.

Where can I find out if there are quotas for High-Tech Medical Care?

How many high-tech operations using the da Vinci robot are performed per year, is there a chance to get help?

In 2017, a total of 2,421 operations were performed using a robotic system. Of these, only 5% was paid for by private individuals; the rest were financed through quotas.

If a medical center is equipped with the da Vinci system, does that mean that all types of surgeries can be obtained at the medical center?

Which medical institutions in Russia provide VMP using the da Vinci robot?

List of operations that are performed using the da Vinci robot-assisted system in Russia:

Urology: Radical prostatectomy, adenomectomy, kidney resection; autotransplantation; allotransplantation, Nephrectomy, Adrenalectomy, Cystectomy, Bladder resection, LMS plastic surgery, Ureteroanastomosis; Ureterocystoanastamosis, Abdominal testicular resection, Pyelolithotomy, Varicocelectomy.

Colorectal surgery: Resection of the rectum (anterior and low anterior), BAR (Abdominal-anal resection), Hemicolectomy (left-sided, right-sided), Sigmoidectomy, Colectomy.

Thoracic surgery: Segmentectomy, Lobectomy, Bilobectomy, Regional resection, Mediastinal resection.

Head and neck: Glossectomy, Thymectomy, Theriodectomy, Hemithyroidectomy, Resection of the thyroid isthmus.

How to get a VMP quota?

An operation using the da Vinci robotic platform is expensive, but any patient in need has the right to receive a state quota for such an operation.

We bring to your attention answers to questions that applicants have.

Who is eligible for free high-tech surgery?

Document

Which institutions deal with the issue of quotas?

All issues of obtaining funding for High-Tech Medical Care (HTMC) from the federal budget are regulated by the Ministry of Health.

What diseases are covered by the quota program?

The list of diseases for which a patient can count on state support is approved annually by order of the Ministry of Health of the Russian Federation.

The types of assistance that can be provided using the da Vinci robot can be viewed here.

Which institutions have the right to provide High-Tech Medical Care (HMC)?

Are there any age restrictions for the patient?

There is no age limit for minimally invasive surgery using the da Vinci robot.

What steps must be taken in the process of obtaining quota for gold standard surgery?

Step 1. Contact your doctor.

First of all, the patient should contact the attending physician to receive a referral for hospitalization, prepare the necessary documents and send them for review to a competent organization.

How many times can you get a quota for an operation?

The attending physician of the medical organization in which the patient is being diagnosed and treated determines the presence of medical indications for the provision of VMP and, if there are medical indications, issues a referral for hospitalization. The presence of medical indications is confirmed by the decision of the medical commission of the medical organization, which is documented in a protocol and entered into the patient’s medical documentation. If there are medical indications, the attending physician issues a referral for hospitalization.

Requirements for making a referral for hospitalization:

FULL NAME. the patient, his date of birth, registration address;
compulsory medical insurance policy number and name of the medical insurance organization;
insurance certificate of compulsory pension insurance;
diagnosis code of the underlying disease in accordance with the international classification of diseases;
profile and name of the type of VMP;
name of the medical organization to which the patient is sent;
FULL NAME. and the position of the attending physician, if available - his telephone number and email address.

Attached to the direction:

an extract from the medical documentation indicating the diagnosis of the disease, the disease code according to the international classification of diseases, information about the state of health, the results of special medical studies. The extract must be certified by the personal signatures of the attending physician and the head of the medical organization;
a copy of the patient’s identification document or a copy of the birth certificate (for children under 14 years of age);
a copy of the compulsory medical insurance policy;
a copy of the insurance certificate of compulsory pension insurance (if available);
consent to the processing of personal data.

The head of the referring medical organization or another employee of the medical organization authorized by the head transfers a referral for hospitalization:

— to the receiving medical organization, if VMP is included in the basic compulsory medical insurance program (clause 15.1 of the Procedure);

- to the executive body of the constituent entity of the Russian Federation in the field of healthcare (OHC), if VMP is not included in the basic compulsory medical insurance program.

Step 2. You must wait for the VMP coupon to be issued.

There are 2 options for issuing a ticket:

If the patient is referred to the provision of medical care included in the basic compulsory medical insurance program, then the issuance of a coupon with a set of documents attached, specified in step 1, is provided by the receiving medical organization.
If the patient is referred to the provision of primary care that is not included in the basic compulsory medical insurance program, the registration of a coupon and the conclusion of the commission of the executive body of the constituent entity of the Russian Federation in the field of healthcare for the selection of patients for the provision of primary care (the OHC commission) is provided by the OHC.