Распоряжение Правительства Хабаровского края от 21.07.2014 № 516-рп

             оказывающих социальные                                                    здравоохранения Российской    
             услуги, в субъекте                                                        Федерации и копию в           
             Российской Федерации                                                      Министерство труда и          
                                                                                       социальной защиты             
                                                                                       Российской Федерации,         
                                                                                       заполнение форм отчетности    
                                                                                       в информационно-              
                                                                                       аналитической системе         
                                                                                       "Мониторинг программы         
                                                                                       поэтапного                    
                                                                                       совершенствования оплаты      
                                                                                       труда в государственных       
                                                                                       (муниципальных)               
                                                                                       учреждениях на 2012-2018      
                                                                                       годы"                         
                                                                                                                     
  4.         Реализация государственной программы "Развитие здравоохранения Хабаровского края"                       
                                                                                                                     
                                                                                                                     
  4.1.       Мероприятия по проведению         2014-2015 годы        министерство      реализация структурных        
             организационных изменений                              здравоохранения    преобразований системы        
             в структуре медицинских                                     края          оказания медицинской          
             организаций края в                                                        помощи в части                
             соответствии с утвержденной                                               организационных изменений     
             государственной программой                                                в структуре медицинских       
             "Развитие здравоохранения                                                 организаций края,             
             Хабаровского края"                                                        направленная на повышение     
                                                                                       эффективности системы         
                                                                                       здравоохранения, в            
                                                                                       соответствии с                
                                                                                       утвержденной                  
                                                                                       государственной               
                                                                                       программой "Развитие          
                                                                                       здравоохранения               
                                                                                       Хабаровского края"            
                                                                                                                     
  4.1.1.     Совершенствование сети               2014 год           министерство      реализация структурных        
             учреждений здравоохранения                             здравоохранения    преобразований системы        
             муниципальных районов края                                  края          оказания медицинской          
             за счет включения                                                         помощи в части                
             маломощных                                                                организационных изменений     
             территориальных                                                           в структуре медицинских       
             медицинских учреждений в                                                  организаций края,             
             состав центральных                                                        направленная на повышение     
             районных больниц                                                          эффективности системы         
             (Вяземский, имени Лазо,                                                   здравоохранения, в            
             Солнечный, Ульчский,                                                      соответствии с                
             Хабаровский муниципальные                                                 утвержденной                  
             районы)                                                                   государственной               
                                                                                       программой "Развитие          
                                                                                       здравоохранения               
                                                                                       Хабаровского края"            
                                                                                                                     
  4.1.2.     Реструктуризация                     2015 год               - " -         переход на подушевое          
             госпитально-                                                              финансирование                
             поликлинических                                                           амбулаторной помощи;          
             объединений с выделением                                                  приведение расходов на        
             амбулаторно-                                                              отдельные виды                
             поликлинических                                                           медицинской помощи в          
             подразделений в                                                           соответствие с                
             самостоятельную структуру,                                                установленными целевыми       
             укрупнение сети городских                                                 показателями;                 
             поликлиник в городских                                                    развитие этапности системы    
             округах края                                                              оказания медицинской          
                                                                                       помощи, маршрутизация         
                                                                                       направления пациентов в       
                                                                                       медицинские организации;      
                                                                                       сокращение избыточного        
                                                                                       управленческого персонала,    
                                                                                       сокращение доли прочего       
                                                                                       персонала в структуре         
                                                                                       численности работников и в    
                                                                                       структуре расходов            
                                                                                       учреждения;                   
                                                                                       оптимизация                   
                                                                                       диагностической базы с        
                                                                                       исключением ее                
                                                                                       дублирования                  
                                                                                                                     
  4.1.3.     Реорганизация учреждений          2014-2015 годы        министерство      переход на подушевое          
             родовспоможения г.                                     здравоохранения    финансирование                
             Хабаровска с созданием                                      края          амбулаторной помощи;          
             городского родильного дома                                                приведение расходов на        
                                                                                       отдельные виды                
                                                                                       медицинской помощи в          
                                                                                       соответствие с                
                                                                                       установленными целевыми       
                                                                                       показателями;                 
                                                                                       развитие этапности системы    
                                                                                       оказания медицинской          
                                                                                       помощи, маршрутизация         
                                                                                       направления пациентов в       
                                                                                       медицинские организации;      
                                                                                       сокращение избыточного        
                                                                                       управленческого персонала,    
                                                                                       сокращение доли прочего       
                                                                                       персонала в структуре         
                                                                                       численности работников и в    
                                                                                       структуре расходов            
                                                                                       учреждения;                   
                                                                                       оптимизация                   
                                                                                       диагностической базы с        
                                                                                       исключением ее                
                                                                                       дублирования                  
                                                                                                                     
  4.2.       Разработка комплекса мер,            ежегодно               - " -         развитие этапности системы    
             направленных на                                                           оказания медицинской          
             совершенствование оказания                                                помощи, маршрутизация         
             медицинской помощи                                                        направления пациентов в       
             населению, на основе                                                      медицинские организации;      
             государственной программы                                                 приведение расходов на        
             "Развитие здравоохранения                                                 отдельные виды                
             Хабаровского края" по                                                     медицинской помощи в          
             достижению показателей                                                    соответствие с                
             младенческой, материнской и                                               установленными целевыми       
             детской смертности                                                        показателями;                 
                                                                                       сокращение избыточного        
                                                                                       управленческого персонала,    
                                                                                       сокращение доли прочего       
                                                                                       персонала в структуре         
                                                                                       численности работников и в    
                                                                                       структуре расходов            
                                                                                       учреждения;                   
                                                                                       оптимизация                   
                                                                                       диагностической базы с        
                                                                                       исключением ее                
                                                                                       дублирования                  
                                                                                                                     
  4.2.1.     Укрепление материально-           2014-2018 годы        министерство      повышение качества и          
             технической базы                                       здравоохранения    доступности медицинской       
             учреждений                                                  края          помощи женщинам в период      
             родовспоможения и детства                                                 беременности, родов и         
                                                                                       послеродовом периоде и        
                                                                                       детскому населению края;      
                                                                                       снижение материнской,         
                                                                                       младенческой и детской        
                                                                                       смертности                    
                                                                                                                     
  4.2.1.1.   Строительство объектов                 - " -                - " -         обеспечение соответствия      
             здравоохранения:                                                          подведомственных              
             детских поликлиник в г.                                                   учреждений лицензионным       
             Хабаровске, г. Комсомольске-                                              требованиям для               
             на-Амуре;                                                                 выполнения                    
             акушерского корпуса в                                                     Территориальной               
             Ульчском муниципальном                                                    программы;                    
             районе;                                                                   приведение объектов в         
             детской городской больницы                                                соответствие с санитарно-     
             г. Комсомольска-на-Амуре                                                  эпидемиологическими           
                                                                                       требованиями, улучшение       
                                                                                       условий для пребывания        
                                                                                       больных и повышение           
                                                                                       качества медицинской          
                                                                                       помощи взрослому и            
                                                                                       детскому населению            
                                                                                                                     
  4.2.1.2.   Проведение реконструкции          2014-2015 годы            - " -                    - " -              
             КГБУЗ "Перинатальный                                                                                    
             центр" министерства                                                                                     
             здравоохранения края. Третья                                                                            
             очередь. Реконструкция                                                                                  
             существующего акушерского                                                                               
             корпуса                                                                                                 
                                                                                                                     
  4.2.1.3.   Капитальный ремонт                2014-2018 годы            - " -                    - " -              
             учреждений здравоохранения                                                                              
             родовспоможения и детства                                                                               
                                                                                                                     
  4.2.1.4.   Дооснащение медицинским                - " -                - " -                    - " -              
             оборудованием медицинских                                                                               
             учреждений                                                                                              
             родовспоможения и детства в                                                                             
             соответствии с порядками                                                                                
             оказания медицинской                                                                                    
             помощи                                                                                                  
                                                                                                                     
  4.2.2.     Реализация пилотного                 ежегодно               - " -         снижение младенческой         
             проекта по пренатальной                                                   смертности от врожденных      
             (дородовой) диагностике                                                   пороков развития,             
             нарушений развития плода                                                  профилактика                  
                                                                                       заболеваемости и              
                                                                                       инвалидизации                 
                                                                                                                     
  4.2.3.     Реализация мероприятий                 - " -                - " -         раннее выявление              
             неонатального и                                                           заболеваемости, снижение      
             аудиологического скрининга                                                инвалидности                  
                                                                                                                     
  4.2.4.     Внедрение современных                ежегодно           министерство      снижение младенческой,        
             технологий по выхаживанию                              здравоохранения    детской смертности,           
             новорожденных детей с                                       края          инвалидизации;                
             низкой, очень низкой и                                                    коррекция врожденных          
             экстремально низкой массой                                                пороков у детей в раннем      
             тела с развитием фетальной и                                              возрасте                      
             неонатальной хирургии                                                                                   
                                                                                                                     
  4.2.5.     Совершенствование                      - " -                - " -         повышение качества и          
             дистанционных форм                                                        доступности медицинской       
             наблюдения с                                                              помощи                        
             использованием                                                                                          
             телемедицинских технологий                                                                              
             новорожденных, беременных                                                                               
             женщин и детей из группы                                                                                
             высокого риска                                                                                          
                                                                                                                     
  4.2.6.     Совершенствование выездной             - " -                - " -         повышение     качества     и  
             работы бригад врачей-                                                     доступности      медицинской  
             специалистов краевых                                                      помощи;                       
             государственных учреждений                                                раннее выявление рисков       
             здравоохранения в                                                         развития заболеваний у        
             муниципальных образованиях                                                детей, своевременное          
             края для диспансеризации                                                  назначение лечебно-           
             детского населения                                                        оздоровительных               
                                                                                       мероприятий                   
                                                                                                                     
  4.2.7.     Организация работы                     - " -                - " -         повышение качества и          
             выездных анестезиолого-                                                   доступности медицинской       
             реанимационных акушерских,                                                помощи женщинам в период      
             неонатальных и                                                            беременности, родов и         
             педиатрических бригад для                                                 послеродовом периоде и        
             обслуживания населения по                                                 детскому населению края;      
             зональному принципу                                                       снижение материнской,         
                                                                                       младенческой и детской        
                                                                                       смертности                    
                                                                                                                     
  4.3.       Реализация мероприятий,                - " -                - " -         снижение заболеваемости,      
             направленных на                                                           инвалидности и смертности     
             совершенствование оказания                                                населения края от             
             медицинской помощи                                                        сосудистых заболеваний,       
             населению, на основе                                                      увеличение                    
             государственной программы                                                 продолжительности и           
             "Развитие здравоохранения                                                 качества жизни больных,       
             Хабаровского края" по                                                     страдающих этими              
             достижению показателя                                                     заболеваниями;                
             снижения смертности от                                                    повышение                     
             болезней системы                                                          удовлетворенности             
             кровообращения                                                            населения качеством           
                                                                                       медицинской помощи;           
                                                                                       повышение доступности для     
                                                                                       населения                     
                                                                                       специализированной, в том     
                                                                                       числе высокотехнологичной,    
                                                                                       медицинской помощи;           
                                                                                       повышение                     
                                                                                       удовлетворенности в           
                                                                                       обеспечении больных (после    
                                                                                       стационарного лечения)        
                                                                                       санаторно-курортным           
                                                                                       лечением;                     
                                                                                       повышение мотивации среди     
                                                                                       населения к здоровому         
                                                                                       образу жизни, обучение        
                                                                                       пациентов в школах            
                                                                                       здоровья для больных          
                                                                                       артериальной гипертонией      
                                                                                                                     
  4.3.1.     Создание первичных                2014-2018 годы        министерство      повышение качества            
             сосудистых отделений в                                 здравоохранения    оказания медицинской          
             краевых государственных                                     края          помощи                        
             учреждениях                                                                                             
             здравоохранения: открытие                                                                               
             четырех первичных                                                                                       
             сосудистых отделений                                                                                    
             (КГБУЗ "Городская                                                                                       
             клиническая больница N 11"                                                                              
             министерства                                                                                            
             здравоохранения                                                                                         
             Хабаровского края, КГБУЗ                                                                                
             "Городская больница N 2"                                                                                
             министерства                                                                                            
             здравоохранения                                                                                         
             Хабаровского края, КГБУЗ                                                                                
             "Николаевская-на-Амуре                                                                                  
             центральная районная                                                                                    
             больница" министерства                                                                                  
             здравоохранения                                                                                         
             Хабаровского края, КГБУЗ                                                                                
             "Советско-Гаванская                                                                                     
             районная больница"                                                                                      
             министерства                                                                                            
             здравоохранения                                                                                         
             Хабаровского края)                                                                                      
                                                                                                                     
  4.3.2.     Дооснащение бригад скорой              - " -                - " -                    - " -              
             медицинской помощи и                                                                                    
             учреждений здравоохранения                                                                              
             муниципальных районов края                                                                              
             цифровой аппаратурой для                                                                                
             передачи                                                                                                
             электрокардиографии в                                                                                   
             первичные и региональный                                                                                
             сосудистые центры                                                                                       
                                                                                                                     
  4.3.3.     Внедрение тромболитической             - " -                - " -                    - " -              
             терапии на догоспитальном и                                                                             
             стационарном этапах                                                                                     
             оказания медицинской                                                                                    
             помощи в отдаленных                                                                                     
             районах края                                                                                            
                                                                                                                     
  4.3.4.     Подготовка и переподготовка          ежегодно               - " -         повышение                     
             медицинских кадров по                                                     профессиональных знаний       
             вопросам оказания                                                         медицинских работников        
             медицинской помощи                                                                                      
             больным сосудистыми                                                                                     
             заболеваниями, непрерывное                                                                              
             повышение                                                                                               
             профессионализма                                                                                        
             медицинского персонала,                                                                                 
             оказывающего медицинскую                                                                                
             помощь больным                                                                                          
             сосудистыми заболеваниями                                                                               
                                                                                                                     
  4.3.5.     Развитие медицинской                 ежегодно           министерство      снижение заболеваемости,      
             системы профилактики                                   здравоохранения    инвалидности и смертности     
             болезней органов                                            края          населения края от             
             кровообращения. Развитие                                                  сосудистых заболеваний;       
             медицинской реабилитации                                                  увеличение                    
             больных сосудистыми                                                       продолжительности и           
             заболеваниями                                                             качества жизни больных,       
                                                                                       страдающих этими              
                                                                                       заболеваниями                 
                                                                                                                     
  4.4.       Реализация мероприятий,                - " -                - " -         снижение смертности           
             направленных на                                                           населения от травм,           
             совершенствование оказания                                                полученных в результате       
             медицинской помощи                                                        дорожно-транспортных          
             населению, на основе                                                      происшествий                  
             государственной программы                                                                               
             "Развитие здравоохранения                                                                               
             Хабаровского края" по                                                                                   
             достижению показателя                                                                                   
             снижения смертности от                                                                                  
             дорожно-транспортных                                                                                    
             происшествий                                                                                            
                                                                                                                     
  4.4.1.     Создание травматологических          2014 год               - " -         повышение качества и          
             центров второго и третьего                                                доступности оказания          
             уровней и оснащение их                                                    медицинской помощи            
             необходимым медицинским                                                                                 
             оборудованием (шесть                                                                                    
             центров) вдоль трассы г.                                                                                
             Хабаровск - г. Комсомольск-                                                                             
             на-Амуре, Ванино - Лидога,                                                                              
             Селихино - Николаевск-на-                                                                               
             Амуре                                                                                                   
                                                                                                                     
  4.4.2.     Совершенствование оказания             - " -                - " -         повышение                     
             медицинской помощи и                                                      профессиональных знаний       
             внедрение новых                                                           медицинских работников;       
             медицинских технологий                                                    повышение качества            
             пострадавшим от дорожно-                                                  оказания медицинской          
             транспортных происшествий                                                 помощи                        
             в травматологических                                                                                    
             центрах всех уровней                                                                                    
                                                                                                                     
  4.4.3.     Подготовка медицинского                - " -                - " -                    - " -              
             персонала по вопросам                                                                                   
             совершенствования оказания                                                                              
             медицинской помощи                                                                                      
             пострадавшим при дорожно-                                                                               
             транспортных происшествиях                                                                              
                                                                                                                     
  4.4.4.     Подготовка сотрудников                 - " -                - " -         повышение знаний              
             Государственной инспекции                                                 населения по вопросам         
             безопасности дорожного                                                    оказания первой               
             движения, Главного                                                        медицинской помощи            
             управления МЧС России по                                                  пострадавшим                  
             Хабаровскому краю,                                                                                      
             дежурно-постовой службы и                                                                               
             преподавателей учебно-                                                                                  
             курсовых комбинатов по                                                                                  
             вопросам оказания первой                                                                                
             помощи пострадавшим при                                                                                 
             дорожно-транспортных                                                                                    
             происшествиях                                                                                           
                                                                                                                     
  4.5.       Реализация мероприятий,              2014 год           министерство      повышение                     
             направленных на                                        здравоохранения    профессиональных знаний       
             совершенствование оказания                                  края          медицинских работников;       
             медицинской помощи                                                        повышение качества            
             населению, на основе                                                      оказания медицинской          
             государственной программы                                                 помощи                        
             "Развитие здравоохранения                                                                               
             Хабаровского края" по                                                                                   
             достижению показателя                                                                                   
             снижения смертности от                                                                                  
             новообразований (в том числе                                                                            
             от злокачественных)                                                                                     
                                                                                                                     
  4.5.1.     Дальнейшее развитие ПЭТ-             ежегодно               - " -         разработка, внедрение и       
             технологий для ранней                                                     совершенствование             
             диагностики онкологических                                                современных методов           
             заболеваний, улучшения                                                    профилактики, диагностики,    
             качества лечения                                                          лечения;                      
             онкологических больных                                                    увеличение                    
                                                                                       продолжительности             
                                                                                       активной жизни населения;     
                                                                                       снижение заболеваемости,      
                                                                                       инвалидности и смертности     
                                                                                       населения края от             
                                                                                       онкологических                
                                                                                       заболеваний;                  
                                                                                       снижение одногодичной         
                                                                                       летальности;                  
                                                                                       повышение показателя          
                                                                                       пятилетней выживаемости       
                                                                                       больных злокачественными      
                                                                                       новообразованиями;            
                                                                                       повышение уровня              
                                                                                       профессиональной              
                                                                                       подготовки медицинского       
                                                                                       персонала;                    
                                                                                       повышение охвата              
                                                                                       реабилитационными             
                                                                                       мероприятиями;                
                                                                                       развитие паллиативной         
                                                                                       помощи                        
                                                                                                                     
  4.5.1.1.   Открытие 4 онкологических         2014-2015 годы            - " -                    - " -              
             кабинетов                                                                                               
                                                                                                                     
  4.5.1.2.   Открытие 13 онкологических        2015-2018 годы            - " -                    - " -              
             кабинетов                                                                                               
                                                                                                                     
  4.5.2.     Перепрофилирование                2014-2015 годы        министерство      обеспечение доступности       
             лаборатории радионуклидной                             здравоохранения    данного вида лечения          
             диагностики КГБУЗ "Краевой                                  края          жителям Дальневосточного      
             клинический центр                                                         федерального округа           
             онкологии" министерства                                                                                 
             здравоохранения                                                                                         
             Хабаровского края в                                                                                     
             отделение радионуклидной                                                                                
             терапии                                                                                                 
                                                                                                                     
  4.5.3.     Производство 18F-ФДГ в               2014 годы              - " -         обеспечение других            
             ПЭТ-центре КГБУЗ "Краевой                                                 регионов Дальневосточного     
             клинический онкологический                                                федерального округа           
             центр" министерства                                                       радофармацевтическим          
             здравоохранения                                                           препаратом для позитронно-    
             Хабаровского края                                                         эмиссионной томографии,       
                                                                                       что обеспечит приближение     
                                                                                       помощи к населению;           
                                                                                       повышение                     
                                                                                       удовлетворенности             
                                                                                       населения качеством           
                                                                                       медицинской помощи;           
                                                                                       внедрение и                   
                                                                                       совершенствование             
                                                                                       современных методов           
                                                                                       диагностики и лечения         
                                                                                                                     
  4.5.4.     Строительство                     2016-2018 годы            - " -         ввод в эксплуатацию           
             радиологического корпуса                                                  радиологического корпуса      
             КГБУЗ "Онкологический                                                     позволит перераспределить     
             диспансер" министерства                                                   потоки краевых пациентов      
             здравоохранения                                                           для проведения                
             Хабаровского края (г.                                                     конвенциональной лучевой      
             Комсомольск-на-Амуре) на                                                  терапии, увеличить            
             40 коек и 4 каньона для                                                   доступность                   
             мегавольтной лучевой                                                      высокотехнологичной           
             терапии, дистанционной и                                                  медицинской помощи по         
             контактной гамма-терапии и                                                профилю "радиология" для      
             ортовольтной                                                              жителей Дальневосточного      
             рентгенотерапии                                                           федерального округа;          
                                                                                       снижение заболеваемости,      
                                                                                       инвалидности и смертности     
                                                                                       населения края от             
                                                                                       онкологических                
                                                                                       заболеваний;                  
                                                                                       снижение одногодичной         
                                                                                       летальности;                  
                                                                                                                     
                                                                                                                     
                                                                                       повышение показателя          
                                                                                       пятилетней выживаемости       
                                                                                       больных злокачественными      
                                                                                       новообразованиями;            
                                                                                       внедрение и                   
                                                                                       совершенствование             
                                                                                       современных методов           
                                                                                       диагностики и лечения         
                                                                                                                     
  4.5.5.     Строительство центра              2016-2020 годы        министерство      охват дополнительно еще       
             протонной терапии                                      здравоохранения    30,0 процентов                
                                                                         края          нуждающихся                   
                                                                                       онкологических больных        
                                                                                       высокотехнологичным           
                                                                                       методом лечения, которые      
                                                                                       имеют противопоказания к      
                                                                                       существующему в крае          
                                                                                       лечению (опухоли огромных     
                                                                                       размеров, опухоли глаза,      
                                                                                       опухоли у детей и пр.);       
                                                                                       снижение заболеваемости,      
                                                                                       инвалидности и смертности     
                                                                                       населения края от             
                                                                                       онкологических                
                                                                                       заболеваний;                  
                                                                                       снижение одногодичной         
                                                                                       летальности;                  
                                                                                                                     
                                                                                                                     
                                                                                       повышение показателя          
                                                                                       пятилетней выживаемости