1. To approve the Procedure for the organization and implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle in medical organizations in accordance with.

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

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

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

1) carrying out measures for hygienic education, information and communication activities for maintaining a healthy lifestyle, prevention of non-infectious diseases and the consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

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

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

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

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

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

2) in a day hospital (in conditions providing for medical supervision and treatment during the day, but not requiring round-the-clock medical supervision and treatment);

9. Within the framework of the provision of primary pre-medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by paramedics and other medical workers with secondary medical education in the direction of medical workers or with the independent appeal of a citizen.

10. The paramedic (nurse) of the paramedic-obstetric station and the paramedic health center in the implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, sends, if there is a medical indication, to a specialist doctor providing primary medical health care, to a department (office) of medical prevention, a health center, an office of medical assistance for cessation of tobacco consumption;

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

4) develops and implements measures to inform and motivate citizens to maintain a healthy lifestyle, including measures to prevent harmful alcohol consumption and consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

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

11. Within the framework of the provision of primary medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by general practitioners, district therapists, general practitioners (family doctors), pediatricians, district pediatricians on the direction of medical workers or with the independent appeal of a citizen.

12. Physician-therapist (district general practitioner, general practitioner (family doctor), pediatrician, district pediatrician) in the prevention of non-infectious diseases and measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, including in the form of brief preventive counseling, timely diagnosis of non-communicable diseases, sends, if necessary, to the department (office) of medical prevention, health center, office of medical assistance when quitting tobacco consumption, feldsher health center and feldsher-obstetric center, as well as to medical specialists according to the profile of the identified disease (condition) and risk factor;

3) organizes and conducts dispensary observation of patients with non-communicable diseases, carries out referral of persons with a high risk of developing cardiovascular diseases under dispensary supervision of medical workers of the department (office) of medical prevention, health center, specialized medical organizations, paramedic health posts and feldsher-obstetric points, keeps records of the passage of dispensary examinations by citizens with other specialist doctors;

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

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

16. Organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by medical organizations and their structural units in accordance with this Procedure.

MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER


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

I order:

1. To approve the Procedure for the organization and implementation of prevention of non-infectious medical organizations in accordance with the appendix.

2. To exclude:

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

Appendices N 7, -27 of the Regulations on the organization of the provision of primary health care to the adult population, approved and social development of the Russian Federation of May 15, 2012 N 543n (registered by the Ministry of Justice of the Russian Federation on June 27, 2012, registration N 24726), as amended , introduced by order of the Ministry of Health of the Russian Federation of June 23, 2015 N 361n (registered by the Ministry of Justice of the Russian Federation on July 7, 2015, registration N 37921).

The minister
V. I. Skvortsova


Registered
at the Ministry of Justice
Russian Federation

registration N 39822

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

Application
to the order of the Ministry
health care
Russian Federation

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

2. Prevention of non-communicable diseases is carried out at the population, group and individual levels by public authorities, local governments, employers, medical organizations, educational organizations and sports organizations, public associations through the development and implementation of a system of legal, economic and social measures aimed at prevention of the occurrence, spread and early detection of such diseases, as well as to reduce the risk of their development, prevention and elimination of the negative impact on health of factors of the internal and external environment, the formation of a healthy lifestyle.
________________
Part 2 of Article 30 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, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165) ( hereinafter - Federal Law of November 21, 2011 N 323-FZ).

3. Formation of a healthy lifestyle among citizens, including minors, is ensured by carrying out activities aimed at informing citizens (legal representatives of persons specified in part 2 of Article 20 of Federal Law No. 323-FZ of November 21, 2011) about risk factors for their health, the formation of motivation for a healthy lifestyle and the creation of conditions for a healthy lifestyle, including for physical education and sports.
________________
Part 3 of Article 30 of the Federal Law of November 21, 2011 N 323-FZ.

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

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

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

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

1) carrying out measures for hygienic education, information and communication activities for maintaining a healthy lifestyle, prevention of non-infectious diseases and the consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

2) identification of violations of the basic conditions for a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor's prescription, determining the degree of their severity and health risks;
________________
Appendix N 2 to the Procedure for conducting medical examination of certain groups of the adult population, approved by

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

4) carrying out prophylactic medical examinations and preventive medical examinations;
________________
Order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an "On approval of the procedure for conducting clinical examination of certain groups of the adult population" (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268), order of the Ministry of Health of the Russian Federation of December 6, 2012 1011n "On approval of the Procedure for conducting a preventive medical examination" (registered with the Ministry of Justice of the Russian Federation on December 29, 2012, registration N 26511), order of the Ministry of Health of the Russian Federation dated December 21, 2012 N 1346n "On the Procedure for passing medical examinations by minors, including number upon admission to educational institutions and during the period of study in them "(registered with the Ministry of Justice of the Russian Federation on April 2, 2013, registration N 27961), order of the Ministry of Health of the Russian Federation of February 15, 2013 N 72n" medical examination of orphans and children in difficult life situations staying in inpatient institutions "(registered with the Ministry of Justice of the Russian Federation on April 2, 2013, registration N 27964), order of the Ministry of Health of the Russian Federation of April 11, 2013 N 216n" On approval The procedure for medical examination of orphans and children left without parental care, including those adopted (adopted), taken under guardianship (guardianship), in a foster or foster family "(registered with the Ministry of Justice of the Russian Federation on May 21, 2013, registration N 28454) ...

5) conducting dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases.
________________
Order of the Ministry of Health of the Russian Federation of December 21, 2012 N 1344n "On approval of the Procedure for conducting dispensary observation" (registered with the Ministry of Justice of the Russian Federation on February 14, 2013, registration N 27072), order of the Ministry of Health of the Russian Federation of December 21, 2012 N 1348n " On approval of the Procedure for minors to undergo dispensary observation, including during the period of training and upbringing in educational institutions "(registered with the Ministry of Justice of the Russian Federation on March 28, 2013, registration N 27909).

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

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

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

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

2) in a day hospital (in conditions providing for medical supervision and treatment during the day, but not requiring round-the-clock medical supervision and treatment);

3) stationary (in conditions providing round-the-clock medical supervision and treatment).

9. Within the framework of the provision of primary pre-medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by paramedics and other medical workers with secondary medical education in the direction of medical workers or with the independent appeal of a citizen.

10. The paramedic (nurse) of the paramedic-obstetric station and the paramedic health center in the implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, sends, if there is a medical indication, to a specialist doctor providing primary medical health care, to a department (office) of medical prevention, a health center, an office of medical assistance for cessation of tobacco consumption;

2) participates in the organization and conduct of prophylactic medical examinations and preventive medical examinations;

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

4) develops and implements measures to inform and motivate citizens to maintain a healthy lifestyle, including measures to prevent harmful alcohol consumption and consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

11. Within the framework of the provision of primary medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by general practitioners, district therapists, general practitioners (family doctors), pediatricians, district pediatricians on the direction of medical workers or with the independent appeal of a citizen.

12. Physician-therapist (district general practitioner, general practitioner (family doctor), pediatrician, district pediatrician) in the prevention of non-infectious diseases and measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, including in the form of brief preventive counseling, timely diagnosis of non-communicable diseases, sends, if necessary, to the department (office) of medical prevention, health center, office of medical assistance when quitting tobacco consumption, feldsher health center and feldsher-obstetric center, as well as to medical specialists according to the profile of the identified disease (condition) and risk factor;

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

3) organizes and conducts dispensary observation of patients with non-communicable diseases, carries out referral of persons with a high risk of developing cardiovascular diseases under dispensary supervision of medical workers of the department (office) of medical prevention, health center, specialized medical organizations, paramedic health posts and feldsher-obstetric points, keeps records of the passage of dispensary examinations by citizens with other specialist doctors;

4) takes part in the development and implementation of measures to inform and motivate citizens, including minors, to maintain a healthy lifestyle and prevent non-communicable diseases, reduce the risk of harmful alcohol consumption and the consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

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

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

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

15. Within the framework of sanatorium-resort treatment, medical specialists of sanatorium-resort organizations identify the main risk factors for the development of non-communicable diseases and carry out their correction, including in the form of individual in-depth preventive counseling or group preventive counseling, carry out the prevention of non-communicable diseases in the profile of a sanatorium-resort organizing and informing about healthy lifestyles.

16. Organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by medical organizations and their structural units in accordance with Appendices No. 1-9 to this Procedure.

Appendix N 1. Rules for organizing the activities of the department (office) of medical prevention for adults

Appendix N 1

prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in

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

Rules for organizing the activities of the department (office) of medical prevention for adults

1. These Rules determine the procedure for organizing the activities of the department (office) of medical prevention for adults.

2. The department (office) of medical prevention for adults is a structural subdivision of a medical organization or other organization that carries out medical activities, provides primary health care (hereinafter referred to as a medical organization).

3. In a medical organization with an attached adult population of 20 thousand people or more, it is recommended to create a medical prevention department for adults, and with an attached adult population of less than 20 thousand people, it is recommended to create a medical prevention cabinet for adults.

4. The head of the department of medical prevention for adults is appointed a specialist doctor who has a higher education in the specialties "general medicine", "pediatrics", "preventive medicine", "dentistry", who has completed training in additional professional training programs on prevention of non-communicable diseases and the formation of a healthy lifestyle.

5. A medical worker with a higher education in the specialties (areas of training) "general medicine", "pediatrics", "preventive medicine", "dentistry", "nursing", trained on additional professional training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle.

A medical worker with secondary vocational (medical) education in the specialties "nursing", "obstetrics", "general medicine", trained in additional professional professional development programs on the prevention of noncommunicable diseases and the formation of a healthy lifestyle.

7. The structure and staffing of the department (office) of medical prevention for adults are established by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 2 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to form a healthy image life in medical organizations, approved by this order.

8. To organize the work of the department of medical prevention for adults, it is recommended to provide the following structural units in its structure:

1) an office for the organization of prophylactic medical examinations and preventive medical examinations;

2) an office for diagnostics and correction of the main risk factors for the development of non-communicable diseases;

3) cabinet of population methods of prevention.

9. In the absence of the possibility of allocating separate premises for the structural units of the medical prevention department, as well as when organizing a medical prevention office for adults, it is recommended to provide for the zoning of premises for the implementation of activities for the organization of medical examination and preventive medical examinations, diagnosis and correction of risk factors for the development of non-communicable diseases.

10. The equipment of the department (office) of medical prevention for adults is carried out in accordance with the equipment standard established by Appendix No. 3 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations, approved by this order.

11. The main functions of the department (office) of medical prevention for adults are:

1) carrying out measures for the prevention of non-communicable diseases, including those that are the main cause of disability and mortality of the population;

2) organization and participation in the conduct of prophylactic medical examinations and preventive medical examinations of the adult population;

3) participation in informing citizens who are undergoing medical care in a medical organization about conducting medical examination and preventive medical examinations, about their goals and objectives, conducting explanatory work and motivating citizens to undergo medical examination and preventive medical examinations;

4) maintaining medical records and performing individual medical examinations during prophylactic medical examinations and preventive medical examinations;

5) determination (diagnosis) of risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription, identification of violations of the basic conditions for a healthy lifestyle;

6) taking measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption, citizens, including citizens with II and III groups of health status (in the direction of a medical worker, as part of the second stage of clinical examination);
________________
, approved by order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268).

7) referral of patients, if necessary, to specialist doctors, including referral of citizens with tobacco dependence to the offices of medical care for the cessation of tobacco consumption, and citizens with identified harmful alcohol consumption or the risk of consumption of narcotic drugs and psychotropic substances to a specialized psychiatrist-narcologist a medical organization providing drug treatment;

8) dispensary observation, including the appointment of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases;

9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

11) submission of reports in the prescribed manner, collection and provision of primary data on medical activities for information systems in the field of health care, including control, accounting and analysis of the results of prophylactic medical examination and preventive medical examinations;
________________
(Collected Legislation of the Russian Federation, 2011, No. 48, Article 6724; 2013, No. 48, Article 6165; 2014, No. 30, Article 4257) (hereinafter - Federal Law of November 21, 2011 No. 323-FZ).

.

12) organizing and participating in activities to promote a healthy lifestyle among the population, including in the framework of mass actions and information campaigns, as well as informing the population, including the media, about methods of correcting risk factors for non-communicable diseases and preventing their complications;

13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the consumption of narcotic drugs and psychotropic substances without a doctor's prescription.

Appendix N 2. Recommended staff standards of the department (office) of medical prevention for adults

Appendix N 2
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Job title

Number of positions, units

Head of the department (office) of medical prevention -

1 instead of 0.5 positions of medical prevention doctor

Medical Prevention Physician

1 per department (office)

Senior nurse

1 instead of 0.5 positions of paramedic (nurse)

Paramedic (nurse, obstetrician)

1 per 20 thousand adults

Appendix N 3. Standard of equipment of the department (office) of medical prevention for adults

Appendix N 3
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

The standard of equipment for the department (office) of medical prevention for adults

Name

Quantity, pcs.

Tonometer

not less than 1

not less than 1

not less than 1

not less than 1

Portable tonometer for measuring intraocular pressure

not less than 1

not less than 1

not less than 1

Stadiometer

not less than 1

Stopwatch

not less than 1

not less than 1

Set of visual aids

not less than 1

Personal Computer

by the number of jobs

Printer or multifunction device: printer - copier - scanner

not less than 1

Tape measure

not less than 1

not less than 1

Desk

not less than 1

not less than 1

Filing Cabinets

not less than 1

Clothes hanger

Treatment table

not less than 1

Portable germicidal lamp

not less than 1

Container for soaking disposable mouthpieces, test strips

not less than 1

Appendix N 4. Rules for organizing the activities of the health center

Appendix N 4
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Rules for organizing the activities of the health center

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

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

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

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

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

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

1) doctor's office;

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

3) rooms for testing, instrumental and laboratory examination;

4) office of a dental hygienist;

5) room for physiotherapy exercises;

6) healthy eating room.

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

8. The main functions of the Center are:

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

2) conducting a survey of citizens in order to assess functional and adaptive health reserves, identify risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor's prescription, predicting health status, including determining anthropometric parameters, screening assessment of the level of psychophysiological and somatic health, functional and adaptive reserves of the body, rapid assessment of the state of the cardiovascular system, assessment of indicators of the functions of the respiratory system, organ of vision, identification of pathological changes in teeth, periodontal disease and oral mucosa;

3) individual counseling of citizens on healthy lifestyles, including recommendations on rational nutrition, physical activity, physical culture and sports, sleep patterns, living conditions, work (study) and rest, psychohygiene and stress management, prevention of risk factors for the development of non-infectious diseases, responsible attitude to their own health and the health of their family members, the principles of responsible parenting;

4) taking measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption for citizens, including citizens with II and III groups of health status (in the direction of a medical worker, as part of the second stage of clinical examination);
________________
Clause 17 of the Procedure for conducting clinical examination of certain groups of the adult population, approved by order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268).

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

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

7) participation in the conduct of prophylactic medical examinations and preventive medical examinations;

8) dispensary supervision, including the appointment of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases;

9) organizing and conducting events to inform and motivate citizens to lead a healthy lifestyle (including in labor and educational teams), including rational nutrition, increased physical activity, reduced stress, cessation of tobacco consumption, harmful alcohol consumption, as well as drug consumption drugs and psychotropic substances without a doctor's prescription;

10) teaching citizens the rules for providing first aid for life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accidents, acute heart failure, sudden cardiac death), including individual and / or group training of persons with a high risk of developing these life-threatening conditions, and their family members;

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

12) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

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

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

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

16) submission of reports in the prescribed manner, collection and provision of primary data on medical activities for information systems in the health sector, including control, accounting and analysis of the results of medical examination and preventive medical examinations.
________________
Clause 11 of Part 1 of Article 79 of the Federal Law of November 21, 2011 N 323-FZ "On the Basics of Health Protection of Citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165 ; 2014, N 30, Article 4257) (hereinafter - Federal Law of November 21, 2011 N 323-FZ).

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

Appendix N 5
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Job title

Number of positions, units

Head - Medical Prevention Doctor

Medical Prevention Physician

1 per 40 thousand adults

Psychotherapist or medical psychologist

Dental hygienist

Physical therapy instructor

Senior nurse

Nurse

1 for 1 position of a doctor in medical prevention

Medical optometrist (nurse)

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

Subject to training in the assessment of indicators of visual function.

Appendix N 6. Standard of equipment of the health center

Appendix N 6
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Health center equipment standard

Name

Quantity, pcs.

Hardware and software complex for screening assessment of the level of psychophysiological and somatic health, functional and adaptive reserves of the body with a set of equipment for measuring parameters of physical development

not less than 1

Computerized heart screening system (rapid assessment of the state of the heart by ECG signals from the extremities)

not less than 1

Angiological screening system with automatic measurement of systolic blood pressure and calculation of the shoulder-ankle index

not less than 1

Apparatus for a comprehensive detailed assessment of the functions of the respiratory system (computerized spirometer)

not less than 1

Express analyzer for determination of total cholesterol and glucose in blood (with accessories)

not less than 1

Exhaled carbon monoxide analyzer with determination of carboxyhemoglobin (smokelizer)

not less than 1

Pulse oximeter (pulse oximeter)

not less than 1

A set of equipment for a gymnasium hall

not less than 1

A set of equipment for visual promotion of a healthy lifestyle

not less than 1

Set of visual aids

not less than 1

Dental hygienist workplace (dental unit, compressor, vacuum cleaner-saliva ejector)

not less than 1

Workplace of a medical optician-optometrist (nurse) (a set of trial spectacle lenses and prisms with a trial frame, sign projector, automatic refractometer, automatic pneumotonometer)

not less than 1

The workplace of the doctor in the office of healthy nutrition (special software; ultrasonic bone densitometer)

where appropriate

Personal Computer

by the number of jobs

not less than 1

Tonometer

not less than 1

not less than 1

Stadiometer

not less than 1

Tape measure

not less than 1

Appendix N 7. Rules for organizing the activities of the center for medical prevention

Appendix N 7
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Rules for organizing the activities of the center for medical prevention

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

2. The Center for Medical Prevention is an independent medical organization or a structural subdivision of a medical organization or other organization carrying out medical activities (hereinafter referred to as a medical organization).

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

4. A specialist is appointed to the position of the head of a medical prevention center, which is an independent medical organization, who meets the qualification requirements established by the qualification characteristics of the position "chief physician<*>(president, director, head, manager, head) of a medical organization ".
________________
Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On Approval of the Unified Qualification Handbook of the Positions of Managers, Specialists and Employees, Section" Qualification Characteristics of Positions of Workers in the Healthcare Sector "(registered with the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).

5. A medical worker with a higher education in the specialties (areas of training) "general medicine", "pediatrics", "preventive medicine", "dentistry", "nursing case ", trained in additional professional training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle.

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

7. The structure and staffing of the medical prevention center are established taking into account the recommended staffing standards established by Appendix No. 8 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations, approved by this order.

8. To organize the work of a medical prevention center in its structure, it is recommended to provide:

1) department of interdepartmental relations and comprehensive prevention programs;

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

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

4) health monitoring department;

5) advisory and health department;

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

9. The equipment of the medical prevention center is carried out in accordance with the equipment standard established by Appendix No. 9 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations, approved by this order.

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

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

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

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

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

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

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

7) organizing and conducting lectures, educational and methodological sessions with medical workers on the issues of individual in-depth preventive counseling or group preventive counseling (patient school);

8) methodological support of interdepartmental interaction on strengthening and preserving the health of the population, participation in the development and implementation of measures and programs for increasing the level of knowledge of employees of educational organizations, cultural organizations, physical culture organizations, the media, other organizations on the prevention of non-infectious diseases and the formation of healthy lifestyle;

9) organization and participation in holding mass events, actions, round tables, conferences, public hearings on the prevention of non-communicable diseases and the formation of a healthy lifestyle, assistance in the practical implementation of decisions made thereon;

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

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

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

13) maintaining medical records and reporting in accordance with the established procedure, collecting and providing primary data on medical activities for information systems in the healthcare sector, including monitoring, recording and analyzing the results of prophylactic medical examinations and preventive medical examinations.
________________
Clause 11 of Part 1 of Article 79 of the Federal Law of November 21, 2011 N 323-FZ "On the Basics of Health Protection of Citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165 ; 2014, N 30, Article 4257) (hereinafter - Federal Law of November 21, 2011 N 323-F3).

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

11. The Center for Medical Prevention can be used as a clinical base for educational and scientific organizations that implement professional educational programs for medical education.
________________
(Collected Legislation of the Russian Federation, 2012, N 53, Art. 7598).
________________
* Probably a mistake in the original. It should read "December 29, 2012". - Note from the manufacturer of the database.

Appendix N 8. Recommended staff standards of the center of medical prevention

Appendix N 8
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Job title

Number of positions, units

Manager (chief physician, director)

Head of Department - Medical Prevention Doctor (Methodist)

1 per department

Methodist

Medical Prevention Physician

1 per 200 thousand population (at least 3)

Medical statistician

Nurse

Note:

The number of other positions (public relations specialist, sociologist, psychologist (educational psychologist), editor, correspondent, photographer, computer graphics artist, software engineer (software technician), computer and computer operator, electronic typing operator, etc. layouts, flatbed printer and others) is established by the head of a medical organization, depending on the specific working conditions and the amount of work.

Appendix N 9. Standard of equipment of the center of medical prevention

Appendix N 9
to the Procedure for organizing and implementing
prevention of noncommunicable
diseases and activities for
the formation of a healthy lifestyle in
medical organizations approved
by order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Equipment standard for a medical prevention center

Name

Quantity, pcs.

Personal Computer

by the number of jobs

A4 printer

at least 1 for 3 workplaces

A3 printer

not less than 1

Multimedia projector

not less than 1

not less than 1

A set of equipment for visual promotion of a healthy lifestyle

at least 2

Set of visual aids

not less than 1

not less than 1

Voice recorder

not less than 1

Television

not less than 1

DVD player

not less than 1

Digital camera

not less than 1

A4 copier

not less than 1

A3 full color copier

not less than 1

Flatbed Scanner

not less than 1

Brochure

not less than 1

Road transport

not less than 1

Express analyzer for determination of total cholesterol in blood

not less than 1

Express analyzer for determination of glucose in blood

not less than 1

Exhaled carbon monoxide analyzer with determination of carboxyhemoglobin (smokelizer)

not less than 1

Spirometer (portable with disposable mouthpieces)

not less than 1

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

The structure of the order (appendix) Appendix "Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations" (hereinafter referred to as the Procedure). Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..."


Appendix "Procedure for the organization and implementation of the prevention of non-communicable diseases ...." 1. Levels of prevention of non-communicable diseases - population, group and individual. 2. Who carries out the prevention (government authorities, local government bodies, employers, medical organizations, educational organizations and physical culture and sports organizations, public associations). Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..."


4. Prevention of non-communicable diseases is ensured by: 1) development and implementation of programs for the formation of a healthy lifestyle and the prevention of non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as prevention of the consumption of narcotic drugs and psychotropic substances without a doctor's prescription; 2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early detection of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription, measures to correct the identified risk factors for the development of non-communicable diseases, as well as dispensary observation of citizens with chronic non-communicable diseases or a high risk of their development. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "Procedure for organizing and implementing the prevention of non-communicable diseases ...."


5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following measures: 1) carrying out measures for hygiene education, information and communication activities for maintaining a healthy lifestyle, prevention of non-communicable diseases and the consumption of narcotic drugs and psychotropic substances without a doctor's prescription; 2) identification of violations of the basic conditions for a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of consuming narcotic drugs and psychotropic substances without a doctor's prescription, determining the degree of their severity and health risks; 3) provision of medical services for the correction (elimination or reduction of the level) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor's appointment to a doctor - psychiatrist - narcologist of a specialized medical organization or other medical organization providing drug treatment; 4) carrying out prophylactic medical examinations and preventive medical examinations; 5) conducting dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "Procedure for organizing and implementing the prevention of non-communicable diseases ...."


7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations are carried out within the framework of the provision of primary health care, including primary pre-medical health care, primary medical health care, primary specialized health care, as well as specialized medical care and spa treatment. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "Procedure for organizing and implementing the prevention of non-communicable diseases ...."


8. Medical assistance for the prevention of non-communicable diseases is provided in the following conditions: 1) on an outpatient basis (in conditions that do not provide for round-the-clock medical supervision and treatment), including at home when a medical worker is called; 2) in a day hospital (in conditions providing for medical supervision and treatment during the day, but not requiring round-the-clock medical supervision and treatment); 3) stationary (in conditions providing round-the-clock medical supervision and treatment). Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "Procedure for organizing and implementing the prevention of non-communicable diseases ...."


10. A paramedic (nurse) of a paramedic - obstetric station and a paramedic health center in the prevention of noncommunicable diseases and taking measures to promote a healthy lifestyle: 1) identifies and corrects the main risk factors for the development of noncommunicable diseases, directs, if there are medical indications, to a doctor - specialist providing primary medical health care to the department (office) of medical prevention, health center, office of medical assistance for cessation of tobacco consumption; 2) participates in the organization and conduct of prophylactic medical examinations and preventive medical examinations; 3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases; 4) develops and implements measures to inform and motivate citizens to maintain a healthy lifestyle, including measures to prevent harmful alcohol consumption and consumption of narcotic drugs and psychotropic substances without a doctor's prescription; 5) informs citizens about the need to urgently seek medical help for life-threatening conditions, diseases and their complications, as well as training people at high risk of developing life-threatening conditions and their family members on the rules of first aid for these conditions. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "Procedure for organizing and implementing the prevention of non-communicable diseases ...."


11. Within the framework of the provision of primary medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by physicians - therapists, district therapists, general practitioners (family doctors), pediatricians, district pediatricians, according to the direction of medical workers or with the independent appeal of a citizen. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "Procedure for organizing and implementing the prevention of non-communicable diseases ...."


16. Organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by medical organizations and their structural units in accordance with Appendices No. 1-9 to this Procedure. Appendices N 1-9 Order of the Ministry of Health of the Russian Federation dated September 30 n "On the approval of the Procedure ..." Appendix "Procedure for the organization and implementation of the prevention of non-communicable diseases ...."


The structure of the order (appendix) Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults. Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..."


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


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


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


8. To organize the work of the department of medical prevention for adults in its structure, it is recommended to provide for the following structural subdivisions: 1) an office for the organization of medical examination and preventive medical examinations; 2) an office for diagnostics and correction of the main risk factors for the development of non-communicable diseases; 3) cabinet of population methods of prevention. 9. In the absence of the possibility of allocating separate premises for the structural units of the medical prevention department, as well as when organizing a medical prevention office for adults, it is recommended to provide for the zoning of premises for the implementation of activities for the organization of medical examination and preventive medical examinations, diagnosis and correction of risk factors for the development of non-communicable diseases. Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..." Appendix 1 to the Procedure "Rules for organizing the activities of the department (office) of medical prevention for adults"


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


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


11. The main functions of the department (cabinet) of medical prevention for adults are (continued): 7) referral of patients, if necessary, to doctors - specialists, including referring citizens with tobacco dependence to the offices of medical care for cessation of tobacco consumption, and citizens with identified harmful consumption of alcohol or the risk of consumption of narcotic drugs and psychotropic substances to a doctor - psychiatrist - narcologist of a specialized medical organization that provides narcological assistance; 8) dispensary supervision, including the appointment of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases; 9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle; 10) teaching citizens the rules for providing first aid for life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accidents, acute heart failure, sudden cardiac death), including individual and / or group training of persons with a high risk of developing these life-threatening conditions, and their family members; 11) reporting in accordance with the established procedure **, collection and provision of primary data on medical activities for information systems in the field of healthcare ***, including control, accounting and analysis of the results of medical examination and preventive medical examinations; ** *** 12) organizing and participating in activities to promote a healthy lifestyle among the population, including in the framework of mass actions and information campaigns, as well as informing the population, including the media, about methods of correcting risk factors for non-communicable diseases and prevention of their complications; 13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the consumption of narcotic drugs and psychotropic substances without a doctor's prescription. Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..." Appendix 1 to the Procedure "Rules for organizing the activities of the department (office) of medical prevention for adults"


The structure of the order (appendix) Appendix 2 to the Procedure "Recommended staff standards for the department (office) of medical prevention for adults." Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..." ¹ These recommended staffing standards do not apply to medical organizations in the private health care system.


The structure of the order (appendix) Appendix 3 to the Procedure "Standard of equipping the department (office) of medical prevention for adults". Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..."


The structure of the order (appendix) Appendix 4 to the Procedure "Rules for organizing the activities of the health center". Appendix 5 to the Procedure "Recommended staff standards of the health center". Appendix 6 to the Procedure "Standard for equipping a health center". Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..."


The structure of the order (appendix) Appendix 7 to the Procedure "Rules for organizing the activities of the center for medical prevention." Appendix 8 to the Procedure "Recommended staff standards for a medical prevention center". Appendix 9 to the Procedure "Standard for equipping a medical prevention center". Order of the Ministry of Health of the Russian Federation of September 30 n "On the approval of the Procedure ..."



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

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

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

1. To approve the forms for submitting information on the progress of registration and accounting of applications of license applicants, consideration of documents submitted for obtaining licenses, registration and registration of licenses, as well as refusals to grant licenses and determine the departments of the central office of Rostechnadzor responsible for the accuracy, completeness and timeliness of entering information in the approved forms N 1L and N 2L ().

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

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

3.1. ensure continuous operation of the functional task "Monitoring of work with applications of license applicants";

3.2. by January 1, 2007, send comments and suggestions for further development and improvement of the specified functional task to the Office of Organizational and Legal Support of Regulatory Activities.

4. The Interregional Territorial District for Informatization and Information Protection (MTOIZI, AN Chelyshev) shall, by July 31, 2006, create an archive of licenses for 2006 in the field of atomic energy use, which are within the competence of Rostechnadzor. To complete all work on the formation of a complete archive of licenses in the field of atomic energy use by December 31, 2006.

5. The Office of Organizational and Legal Support of Regulatory Activities (V.V. Kochemasov) summarize the comments and suggestions of the subdivisions on the functional task "Monitoring of work with applications of license applicants" tasks.

6. MTOIZI, together with the Office of Organizational and Legal Support, by August 1, 2006, submit proposals for the creation of tools for automated control of procedures for preparing permits issued by Rostekhnadzor () and conclusions of the state ecological expertise.

7. I assign control over the implementation of this order to the Deputy Head of Rostekhnadzor K.L. Seagull.

Head K.B. Pulikovsky



Appendix N 2

Schedule of work on the creation and commissioning of the functional task of the AIS PB "Monitoring of work with applications of license applicants"

Event

Performer, co-performers

Deadline

Note

To develop a functional task of the AIS PB "Monitoring of work with applications of license applicants"

Develop a "User manual for the functional task" Monitoring of work with applications of license applicants "

CB "RealTech" LLC (as agreed)

Appoint in the entrusted divisions persons personally responsible for entering information into the approved forms N 1L and N 2L for submitting information and transfer information about the appointed persons to MTOIZI

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

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

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

To put into operation the functional task "Monitoring of work with applications of license applicants" in the central office of Rostechnadzor.

MTOIZI, LLC KB "RealTech" (as agreed)

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

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

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

Look to the order

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

Constantly, from 01.08.06

Look to the order

Appoint in the territorial bodies persons personally responsible for entering information into the approved forms N 1L and N 2L for submitting information

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

Territorial bodies for technological and environmental supervision

Under direct contracts OOO KB "RealTech"

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

Symbols - see this order.

Appendix N 3

Types of permits issued by Rostechnadzor

Type of issued permission

Responsible management

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

For the use of technical devices at hazardous production facilities

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

For the operation of hydraulic structures at industrial and energy facilities

For the use of industrial explosives and blasting operations

For the development of mineral deposits

On the transboundary movement of hazardous waste

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

For the import into the Russian Federation of toxic substances

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

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

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

1. To approve the forms for submitting information on the progress of registration and accounting of applications of license applicants, consideration of documents submitted for obtaining licenses, registration and registration of licenses, as well as refusals to grant licenses and determine the departments of the central office of Rostechnadzor responsible for the accuracy, completeness and timeliness of entering information in the approved forms N 1L and N 2L ().

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

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

3.1. ensure continuous operation of the functional task "Monitoring of work with applications of license applicants";

3.2. by January 1, 2007, send comments and suggestions for further development and improvement of the specified functional task to the Office of Organizational and Legal Support of Regulatory Activities.

4. The Interregional Territorial District for Informatization and Information Protection (MTOIZI, AN Chelyshev) shall, by July 31, 2006, create an archive of licenses for 2006 in the field of atomic energy use, which are within the competence of Rostechnadzor. To complete all work on the formation of a complete archive of licenses in the field of atomic energy use by December 31, 2006.

5. The Office of Organizational and Legal Support of Regulatory Activities (V.V. Kochemasov) summarize the comments and suggestions of the subdivisions on the functional task "Monitoring of work with applications of license applicants" tasks.

6. MTOIZI, together with the Office of Organizational and Legal Support, by August 1, 2006, submit proposals for the creation of tools for automated control of procedures for preparing permits issued by Rostekhnadzor () and conclusions of the state ecological expertise.

7. I assign control over the implementation of this order to the Deputy Head of Rostekhnadzor K.L. Seagull.

Leader K. B. Pulikovsky