How to get a quota for a free operation - tips on getting quotas for different groups of the population. How to get a quota for an operation: step-by-step instructions How long to wait in line for an operation under a quota

Today, it is possible to get rid of cataracts forever and eliminate its consequences through surgery for free. For these purposes, the state issues a fixed number of quotas annually.

In theory, the procedure for obtaining coupons for free treatment does not seem too complicated. In practice, such a process is complicated by huge queues and imperfect legislation in this aspect.

What eye diseases are eligible for a quota - who will receive free cataract surgery?

A quota for high-tech treatment of ophthalmic diseases can be granted in the following cases:

Diagnosis of combined eye defects against the background of errors in the structure of the cornea, lens, vitreous body: inflammatory phenomena of the retina and/or choroid; cysts and neoplasms; hemorrhages.
Deformation of the retina due to its rupture, detachment.
Glaucoma (congenital or secondary), which provoked various kinds of complications: vegetative-vascular dystonia, inflammatory processes.
Defects that resulted from endovitreal surgical treatment.
Serious injury to the eye or eyelid due to mechanical/chemical impact.
Malignant and non-malignant formations of the orbit, regardless of whether exacerbations are present or not.
Congenital anomalies of the components of the organ of vision (lens, cornea, muscle tissue, anterior or posterior segment of the eye, etc.), as well as deficiencies in the structure of the lacrimal apparatus, abnormalities of the eyelids.
Errors in the structure of the anterior chamber of the eye caused by. In this case, the doctor performs laser treatment with further installation of an intraocular lens.
Secondary cataract, which led to pathologies of the retina, lens, and choroid. Lasers are used to treat this disease. At the same time, measures are taken to eliminate complications.

Clinics in Russia where cataracts are treated free of charge according to quotas

On the territory of the Russian Federation there are several state medical institutions that provide surgical treatment of eye cataracts according to quotas:

Moscow Eye Clinic . Here you can carry out a full examination and treatment (including outpatient treatment) of complex defects and anomalies of the visual organs. If you need laser vision correction, this clinic is also suitable.
Konovalov Ophthalmology Center . The institution is equipped with modern medical equipment, which can be used to conduct high-quality eye diagnostics and eliminate cataracts. This center is famous for its highly qualified specialists.

Knee replacement surgery is an expensive surgical procedure that not all of our fellow citizens can afford. However, there is a state quota program under which patients will be able to receive medical care for free. In order for a knee joint replacement to be carried out according to the quota, you need to collect the required documents, take tests and wait for your turn.

How to get a quota for joint replacement?

Knee replacement is an expensive service. Medical care of this kind costs about 60 thousand rubles, not counting the cost of hospital stay, purchase of medications, examination, purchase of a prosthesis and rehabilitation. After the operation, the damaged parts of the knee are restored and the person can move as before the illness.

Agree that saving the required amount is an impossible task for most. Queuing up to receive a quota in such cases is the only way to recover.

But even here one cannot do without bureaucratic issues. Those wishing to receive a quota will need to collect a package of documents, undergo an examination and wait for the decision of a special commission. The following papers are needed:

a conclusion from the attending physician indicating the need for knee replacement;
test results, x-rays, etc.;
general civil passport of the Russian Federation;
compulsory medical insurance policy;
application for a quota;
signed consent to the processing of personal data;
a document confirming the status of a disabled person, if any;
SNILS.

The algorithm of actions will be as follows:

Contacting your doctor and obtaining a medical opinion on the need for surgical intervention.
Providing documents to the commission of the medical institution where the patient is being observed. The review period is three days.
Transfer of papers to the health department of the constituent entity of the Russian Federation. Here the decision on granting a quota is made. The review period is 10 days.
Redirection of documents to the clinic where the knee joint replacement will be performed.

At the medical institution where endoprosthetics is performed under a quota, they study the documents received and decide on the length of wait for the operation. Typically, joint replacements are performed on a first-come, first-served basis.

After a decision is made, the applicant is notified about the date of hospitalization. In some cases, additional preparation steps are required (undergo examination, etc.). The waiting period is at least three months. Sometimes citizens are forced to wait a year or more for their turn.

Who is entitled to the quota?

Only citizens of the Russian Federation can count on receiving a quota. In addition, you must be an insured person under the compulsory medical insurance program.

Now the state budget fully pays for knee replacement, primarily for children and adults who suffer from cancer with complications of the musculoskeletal system. If a prosthesis is required due to another diagnosis, you still need to submit documents for a quota. However, the wait for your hospitalization date may be lengthy.

In some cases, knee replacement surgery cannot be performed. Contraindications include:

diseases of the cardiovascular system;
pathologies of the nervous system;
diabetes.

Contraindications may be temporary. The commission considers each case individually.

Cost of treatment

Typically, the quota only covers the replacement itself, hospital stay and necessary medications. Most often you have to purchase a prosthesis at your own expense.

The cost of the prosthesis depends on the country of origin and the material used. Imported prostheses are more expensive than those produced in Russia. By type of material, the average prices were distributed as follows:

cement - from 120,000 rubles;
made of metal and polyethylene - from 130,000 rubles;
made of metal and ceramics - from 170,000 rubles.

Prostheses made of metal and ceramics last the longest. However, their price is the highest. To choose the optimal prosthesis, it is recommended to consult a doctor. The specialist will study the characteristics of the patient’s body and select the best option.

The cost of treatment may increase due to the need for special types of examination, if prescribed by the attending physician. Their feasibility is also determined on an individual basis.

A limited number of citizens can receive medical care on a preferential basis. The number of quotas is limited and set annually. Often people have to wait until next year to participate in the quota program, since the current year's quotas have already been allocated.

There is a possibility that someone in the queue for hospitalization will refuse the operation, then the waiting period will be reduced. However, this rarely happens.

Features of quota knee replacement

Citizens awaiting surgical intervention under a quota face two problems:

Long periods of receiving medical care.
Quality of prosthetics according to quota.

If a person requires a knee replacement, and the wait for hospitalization under the quota threatens to drag on for several years, there is a possibility that by that time the ability to move will be completely lost. In this case, practically the only way out is to pay for prosthetics at your own expense. Timely medical care significantly increases the chances of a patient’s full restoration of their previous lifestyle.

In this case, you will be able to save money by going to a public clinic. There you will not have to pay for hospital stay and surgery - this is included in the list of services covered by standard insurance. You will have to pay the cost of the prosthesis, medications and additional measures to examine the patient.

If a citizen does not have that kind of money, you can try turning to a charitable foundation. There are several organizations in our country that provide all possible assistance in raising funds for surgical intervention.

In the future, it is recommended to submit documents to receive compensation for funds spent on treatment from the state budget. To do this, all receipts and other documents related to the knee replacement performed are provided to the health department. Compensation is possible either in full or in part.

The second problem is related to the quality of the prosthesis, which is installed according to a quota. As a rule, the patient does not have to choose - they install the prosthesis available in the clinic. If a citizen is not satisfied with the quality of the prosthesis according to the quota, he has the right to purchase his own, but at his own expense. However, all other treatment will continue to be provided at the expense of the state budget.

Nowadays there are a huge number of types of prostheses. This allows you to choose an option that suits the individual characteristics of a person.

The compulsory health insurance policy does not cover all types of treatment and the state allocates additional funds, the amount of which is limited. Read about how to get a quota for surgery in Moscow in 2019 and what high-tech medical care (HTMC) is in this article.

High-tech medical care - what is it?

VMP is medical care, which, due to the complexity of the disease, can only be provided in a specialized medical institution where there are appropriate specialists and equipment.

High-tech medical care includes:

oncology
cardiovascular surgery
Maxillofacial Surgery
otorhinolaryngology
rheumatology
ophthalmology
pediatrics
thoracic surgery
traumatology and orthopedics
organ and tissue transplantation
urology
endocrinology
abdominal surgery
combustiology
obstetrics and gynecology
gastroenterology
dermatovenerology
hematology
neurology
neurosurgery

The list of diseases eligible for the quota is approved annually by order of the Ministry of Health of the Russian Federation.

What is a quota for surgery and what does it have to do with VMP

In official documents, there is no such thing as a “quota”. A synonym for “receiving a quota” can be considered a referral to receive high-tech medical care at the expense of the federal budget.

In 2018, VMP will be provided to citizens of the Russian Federation mainly at the expense of compulsory health insurance (CHI). In practice, this may mean that the majority will be treated at their place of residence, and the decision to send the patient to another region, for example to Moscow, will be made only as a last resort.

How to get a quota for treatment in Moscow

For nonresidents, this procedure may be somewhat more complicated due to the need to coordinate high-tech medical care in another region. In general, the scheme consists of three stages - passing three medical commissions:

at the place of residence
in the regional health department
in the medical institution where treatment will be carried out

You can begin the registration either by independently selecting a medical institution, or by collecting documents and passing the necessary tests at the clinic at your place of residence.

If you decide to select a medical institution on your own, you will be better informed about the timing and more confident in the quality of treatment.

A voucher for the provision of VMP must be issued by the regional health department.

Documents for obtaining a quota for treatment

In general, the following documents will be sufficient:

extracts from the medical institution, expert opinions with the results of tests and studies
original and photocopy of the compulsory medical insurance policy
certificate of compulsory pension insurance and its photocopy
original and photocopy of passport
for the child, birth certificate and its copy

Where can a Moscow resident get a quota?

To obtain a coupon for the provision of VMP, you can contact the Moscow Department of Health, at the address: Moscow, 2nd Shchemilovsky Lane, building 4 “A”, building 4

Some time later, after submitting the documents, an employee of the health department will inform you of the coupon number and the clinic for treatment, if you have not chosen one in advance.

The coupon is an electronic document and its status can be controlled on the website: talon.rosminzdrav.ru

In what time frame can I receive a quota for treatment?

Unfortunately, there are no clear regulations here; it all depends on the specific case. A response regarding the provision of VMP must be given within 10 days. After this, the waiting period for treatment can last from several days to several months.

Is treatment free under quota?

In theory, yes, treatment should be completely free. Even travel to the place of treatment and accommodation can be paid for, not to mention medications. Unfortunately, not everything in life goes as smoothly as we would like, so it is better to be prepared for unexpected expenses in advance.

Author NN asked a question in the section Doctors, Clinics, Insurance

Is it difficult to “knock out” a quota for an operation and how long on average do you have to wait for your turn? and got the best answer

Answer from Piramidonovna[guru]
To obtain a quota, testimony is required. If they are, then it is enough to contact a specialized doctor at your clinic. He will complete the documents and send them to the VMP center. If there are no indications for VMP, then there is no point in “knocking out”, since there is a certain list of indications and types of treatment for these diseases. The quota will be given as soon as it is your turn at the medical institution where you need it.
Source: surgeon

Answer from 2 answers[guru]

Hello! Here is a selection of topics with answers to your question: Is it difficult to “get” a quota for an operation and how long on average do you have to wait for your turn?

Answer from Yotyana Pimenova[newbie]
It turns out that the Coupon is hanging, not being updated no matter how you look at it, it’s still under review! Call Putin - everything will be decided immediately! It's a mess everywhere!

Answer from Oksana Hetman[newbie]
And if there is no time to wait. Die?

Answer from STOM.RU[guru]
According to the order on the provision of high-tech medical care in 2011, the following procedure was established for receiving high-tech medical care by citizens of the Russian Federation:
The attending physician has identified a disease in the patient, for the treatment of which, as he believes, the patient needs high-tech help. Most often, a complete examination cannot be carried out in a clinic.
The doctor refers the patient to the institution where he will undergo in-depth studies in order to clarify the diagnosis and correctly navigate the scope of the operation.
When the final diagnosis is established, the doctor prepares documents - an extract from the medical history, results of tests and studies. This package, signed by the chief physician of the medical institution, is submitted for consideration to a special commission under the regional health authority - in some regions these are ministries, in others committees, health departments.
Next, the documents are reviewed by the commission of the constituent entity of the Russian Federation for the provision of high-tech medical care with the participation of the chief specialist in this area. He is best versed in a particular area, he knows the medical institutions where the necessary type of assistance is provided. As a rule, the commission meeting takes place without the participation of the patient, although, if necessary, the chief specialist can invite him to an in-person consultation. As a result of the commission's consideration of the patient's package of documents, a decision is made on the presence or absence of indications for providing him with VMP. If a positive decision is made, then the head of the executive body of the constituent entity of the Russian Federation in the field of healthcare issues a special accounting form for the patient “Voucher for the provision of medical treatment.” Currently, the “Voucher for the provision of medical treatment” is electronic, which means that all stages of receiving medical treatment by the patient, copies of extracts and examination results are recorded in an electronic account, and the stages of obtaining medical treatment can be tracked on the Internet, knowing the number of the “Voucher for the provision of medical treatment” .
After making a positive decision and issuing a “Coupon for the provision of high-tech medical care,” the commission of the regional health care authority sends the patient’s medical documents to a specialized clinic, which has the right to provide high-tech medical care for this profile. These documents are then reviewed by a special Commission for selecting patients for the provision of high-tech medical care at a given medical institution, for example, the Russian Scientific Center for Surgery named after. acad. B.V. Petrovsky RAMS (hereinafter referred to as the Medical Institution Commission). The commission of a medical institution makes a decision on whether or not the patient has medical indications for hospitalization and provision of medical treatment based on the provision of a “Voucher for the provision of medical treatment” and an extract from the patient’s medical records. The period for making a decision by the Commission of a medical institution should not exceed 10 days from the date of registration of the Voucher for the provision of medical treatment, and in case of face-to-face consultation of the patient - no more than three days.
If the commission makes a positive decision, then it sets a date for the patient’s hospitalization and informs the health authority of the region where the patient lives.
The patient is notified of the commission's decision, usually through the institution that referred him for further treatment, and is given a referral to a specific clinic indicating the date of hospitalization. If the patient belongs to a preferential category and has not refused the package of social services, he also has the right to free travel to the clinic and back at the expense of the Social Insurance Fund. The patient is given a coupon for receiving VMP with the signature of an official.
On average, between the establishment of a diagnosis by the attending physician and the hospitalization of the patient for surgery, it can take from several days to several months, depending on the need for urgent high-tech medical care, the queue on the waiting list, and the availability of free places in the medical institution where the region issues the referral.

Document

FULL NAME.

the patient, his date of birth, registration address;

Attached to the direction:

a copy of the 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 the release of the Federal Law " On the basics of protecting the health of citizens in the 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. In 2012, a new order was introduced that will remain in effect 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 the medical documentation, including recommendations for obtaining VMP, and a number of other documents (copies of passport, health insurance policy). Compulsory medical insurance and pension certificate). The structure of the health care 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 to provide medical treatment. 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 event of an appeal 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 presence 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 to 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 presence 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 care authority of a constituent entity of the Russian Federation did not ensure that the patient was referred to medical organizations for the provision of 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-hour 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 from 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 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:

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 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.

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 primary 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 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?

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 the da Vinci system, does that mean that all types of surgeries can be obtained at the medical center?

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, Bladder resection, 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.

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 primary 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.