High-tech medical services (HTMS) in the form of inpatient and hospital-replacing care are provided in health organizations, both local and national levels. High-tech medical services in the form of consultative and diagnostic assistance are provided at the national level.
To provide HTMS in a hospital in a health care organization at the local level, a specialist in a polyclinic or a hospital registers a referral to the Hospitalization Bureau Portal and issues it to the patient. If there is no possibility of granting HTMS in local level health care organizations, a PHC specialist or a specialist in the healthcare organization will send a package of patient documents to HTMS commission of the local health authorities of the regions, the city of the Republican significance and the capital (hereinafter - HTMS commission) to address the issue of hospitalization in the Republican Organization of Health Care.
The basis for the hospitalization of citizens in the Republican Organization of Health Care for the provision of HTMS in the form of inpatient and hospital-replacing care and referral to the HTMS in the form of consultative and diagnostic assistance is the decision of HTMS commission.
The following documents are submitted for consideration by HTMS commission:
- A copy of the patient's identity document;
- Referral for hospitalization in an inpatient hospital, in a day hospital, in the form 001-3/y;
- Results of the necessary minimum volume of the patient's examination (CBC, UA, (limitation period is not more than 14 days), chest X-ray (limitation period not more than 1 year), electrocardiogram (limitation period not more than 1 month) and the presence of HBsAg (limitation period is not more than 3 months));
- Extract from an outpatient card/medical history with the indication of a clinical diagnosis, research results;
- Results of laboratory and instrumental studies confirming the clinical diagnosis of the patient.
HTMS Commission examines the patient's package of documents in absentia or, according to medical indications, with the invitation of the patient to commission examination by specialists. HTMS Commission examines the presented documents and determines the reasonableness of the patient's referral to the Republican Organizations of Health Care for the provision of specialized medical assistance with the use of the HTMS.
Within 2 working days from the receipt of the patient's documents, HTMS Commission makes a decision, drawn up in the form of a protocol.
When a positive decision to provide a patient with HTMS in the Republican Organization of Health Care is made, HTMS Commission registers the referral in the Hospitalization Bureau Portal and transmits the package of documents with the printed referral to the health organization that has sent it. The health care organization, after receiving a referral for hospitalization, informs the patient about the date of hospitalization by issuing a letter of scheduled hospitalization.
When deciding whether to provide a patient with HTMS for the purpose of organ transplantation within the guaranteed volume of free medical care, HTMS Commission takes into account the availability of budget funds to provide the patient with medicines after organ transplantation.
The local state health authority of the region, the city of the Republican significance and the capital provides the patient with the necessary medicines after organ transplantation within the GFMC according to the List of Medicines.
When deciding to refuse to provide a patient with HTMS, HTMS Commission registers a refusal in the Hospitalization Bureau Portal and returns the package of documents accompanied by a reasoned refusal to the health organization that has sent it.
If there is an evidence for the provision of HTMS in the form of a CDA at the national level, a PHC specialist or a specialist of the health care organization sends the patient's package of documents to HTMS Commission for consideration.