Job description of the deputy chief physician for expert clinical work. Job description of a medical care quality expert Functional responsibilities of specialist doctors

I. General provisions

1. A person who has a higher medical education, a document conferring the title of medical specialist and (has; does not have) (I, II, highest) qualification category(s) is appointed to the position of a medical specialist.

2. Appointment to the position of a medical specialist and dismissal from it are made by order of the head of the healthcare institution.

3. A medical specialist must know:

3.1. Laws Russian Federation and other regulatory legal acts on health issues.

3.2. Methods of providing medication and emergency care medical care to the population.

3.3. Theoretical knowledge in the chosen specialty, in organizational, diagnostic, advisory, therapeutic, and preventive work.

3.4. Modern methods of treatment, diagnosis and drug provision for patients. Modern diagnostic and treatment equipment: ultrasound machines, MRI and CT scanners, X-ray machines, etc.

3.5. Fundamentals of medical labor examination.

3.6. Ways of interaction with other medical specialists, various services, institutions, organizations, including insurance companies, physician associations, etc.

3.7. Fundamentals of the functioning of budgetary insurance medicine and the provision of sanitary, preventive and medicinal care to the population.

3.8. Legislation on labor and labor protection of the Russian Federation.

3.9. Internal labor regulations.

3.10. Labor safety rules and regulations, safety precautions, industrial sanitation and fire protection.

4. The specialist doctor reports directly to (the head of the department; the chief physician; the deputy chief physician for medical work)

5. During the absence of a medical specialist (business trip, vacation, illness, etc.), his duties are performed by a person appointed by order of the head of the institution.

II. Job responsibilities

Medical specialist:

1. Provides the population with permanent, emergency and emergency medical care in its specialty, using modern methods prevention, diagnosis, treatment and rehabilitation.

2. Plans and analyzes his work.

3. Organizes and independently conducts special diagnostic studies and interprets their results

4. Prepares medical documentation of the established form in accordance with the requirements of the Ministry of Health of the Russian Federation.

5. Conducts examination of patients’ disability.

6. Provides advisory assistance in departments of the medical institution.

7. Complies with the principles of medical ethics and deontology.

8. Improves his qualifications.

9. Manages the work of nursing staff.

III. Rights

A specialist doctor has the right:

1. Monitor the work of the nursing and junior medical personnel subordinate to him.

2. Conclude agreements for the provision of medical services within the framework of compulsory and voluntary health insurance programs with any bodies, enterprises, institutions, insurance companies in established by law ok.

4. Make proposals on improving medical and social care.

5. Take part in meetings, scientific and practical conferences on issues of treatment and preventive care.

6. Use medical institutions to improve your qualifications under the terms of a contract with payment both at the expense of the employer and at your own expense.

7. Conduct, in the prescribed manner, an examination of the quality of medical care provided to the patient by other specialists.

IV. Responsibility

The medical specialist is responsible for:

1. For improper performance or non-fulfillment of your job responsibilities provided for by this job description within the current labor legislation Russian Federation.

2. For illegal actions or inaction that resulted in damage to the health or death of the patient, other offenses committed in the course of carrying out their activities within the limits of the current administrative, criminal and civil legislation.

3. For errors in carrying out treatment measures that entailed grave consequences for the patient within the limits of current administrative, criminal and civil legislation.

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A typical job description for a forensic medical expert is.

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Job description of a forensic medical expert

1. General Provisions

1. This job description defines the job duties, rights and responsibilities of a forensic medical expert.

2. A person who has a higher medical education and has completed postgraduate training or specialization in the specialty “Forensic Medical Examination” is appointed to the position of a forensic medical expert.

3. A forensic medical expert must know the legal aspects of conducting forensic medical examinations; basics of organizing and conducting forensic medical examinations; regulatory documents regulating the activities of forensic medical examination institutions; internal labor regulations; rules and regulations of labor protection, safety, industrial sanitation and fire protection.

According to his specialty, a forensic medical expert must know modern methods of forensic medical examination; content and sections of forensic medical examination as an independent scientific and practical discipline; tasks, organization, structure, staffing and equipment of the forensic medical examination service; current regulatory, legal, instructional and methodological documents in the specialty; rules for preparing documentation; the procedure for conducting an examination of temporary disability and medical and social examination; principles for planning the activities and reporting of the forensic medical examination service; methods and procedures for monitoring its activities.

4. A forensic medical expert is appointed and dismissed by order of the head of the forensic medical examination bureau in accordance with the current legislation of the Russian Federation.

5. The forensic medical expert is directly subordinate to the head of the department (department), and in his absence, to the head of the forensic medical examination bureau or his deputy.

2. Job responsibilities

Carries out qualified forensic medical examination using modern research methods. Provides advisory assistance to employees of other departments of the forensic medical examination bureau in their specialty. Supervises the work of the nursing and junior medical personnel subordinate to him (if any), assists them in the performance of their official duties. Monitors the correctness of forensic medical examinations, operation of instruments, apparatus and equipment, rational use of reagents, compliance with safety and labor protection rules by personnel. Participates in conducting training sessions for the staff of the forensic medical examination bureau. Plans his work and analyzes his performance indicators. Ensures timely and high-quality documentation in accordance with established rules. Qualified and timely executes orders, instructions and instructions from the management of the institution, as well as regulatory legal acts in its own right professional activity. Complies with internal regulations, fire and safety regulations, and sanitary and epidemiological regulations. Promptly takes measures, including timely informing management, to eliminate safety, fire and safety violations sanitary rules posing a threat to the activities of the forensic medical examination bureau, its employees and visitors. Systematically improves his skills.

A forensic medical expert has the right:

1. carry out a forensic medical examination in accordance with current legislation, and, if necessary, involve other specialists for consultations;

2. make proposals to the management of the institution on improving forensic medical examination, issues of organization and conditions of their work;

3. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their strict execution, make proposals to the management of the institution for their encouragement or imposition of penalties;

4. request, receive and use information materials and regulatory documents necessary to perform their official duties;

5. take part in scientific and practical conferences and meetings at which issues related to his work are discussed;

6. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;

7. improve your qualifications through advanced training courses at least once every 5 years.

A forensic medical expert enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The forensic medical expert is responsible for:

1. timely and high-quality implementation of the official duties assigned to him;

2. high-quality and timely conduct of forensic medical examinations;

3. organization of its work, timely and qualified execution of orders, instructions and instructions from management, regulations on its activities;

4. compliance with internal regulations, fire safety and safety regulations;

5. maintaining documentation provided for by current regulatory documents;

6. provision of statistical and other information on its activities in the prescribed manner;

7. ensuring compliance with executive discipline and performance of their official duties by employees subordinate to him (if any);

8. promptly taking measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the forensic medical examination bureau, its employees and visitors.

For violation labor discipline, legislative and regulatory acts, a forensic medical expert may be brought to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

"Issues of expertise and quality of medical care", 2011, N 6

Job description is the main organizational and legal document defining the tasks, functions, responsibilities, rights and responsibilities of employees. Clear organizational and legal regulation official activities promotes rational organization and increasing labor productivity, making fuller use of the professional and creative potential of human resources, ensures greater objectivity when certifying an employee, encouraging him and imposing disciplinary action on him.

The presented samples of job descriptions are advisory in nature and can serve as the basis for developing your own job descriptions containing an updated list qualification requirements, job responsibilities and rights of employees, the extent of their responsibility and the chain of command, taking into account the characteristics of the activities of a particular institution.

SAMPLE JOB DESCRIPTION FOR A QUALITY OF MEDICAL CARE EXPERT 1. General provisions

1. This job description defines the job duties, rights and responsibilities of a medical care quality expert (QMP).
2. A person with a higher education degree is appointed to the position of ILC expert professional education in the specialty “General Medicine”, “Pediatrics”, postgraduate education and (or) additional professional education, a certificate of a specialist in a clinical specialty or specialty “Healthcare Organization and Public Health”, possessing special knowledge and practical skills in planning, organizing and conducting examination of clinical medical care, generalization and statistical analysis of its results.
3. The ILC expert must know: the Constitution of the Russian Federation; fundamentals of the legislation of the Russian Federation on healthcare; social hygiene, organization and economics of health care, health insurance, medical statistics; fundamentals of quality management (principles, functions, methods, quality management systems, legal, documentation, information and methodological support, statistical quality control); regulatory documents on the management and examination of ILC; basics medical ethics and deontology; legal aspects of medical practice; basics of document flow, statistical accounting and forms statistical reporting in its area of ​​activity; basics scientific organization labor; psychology of professional communication; internal labor regulations; basics of labor legislation; labor protection and fire safety rules.
4. The ILC expert carries out her activities in accordance with the Regulations on the procedure for organizing and conducting the ILC examination in a medical organization, the Regulations on the ILC service in a medical organization, the Regulations on the ILC department (if any), methodological and instructional documents on the procedure for organizing and conducting the ILC examination, this job description.
5. A clinical medical expert is appointed and dismissed by order of the head of a medical organization in accordance with the current legislation of the Russian Federation.
6. The KMP expert is directly subordinate depending on organizational structure and the staffing schedule for the head of the organizational and methodological department or the head of the ILC department (if there is one), or the deputy chief physician for medical affairs, or the deputy chief physician for ILC (if such a position exists).

2. Job responsibilities

Plans, organizes and analyzes activities in the field of ILC examination. Conducts, in accordance with current regulations, an examination of the medical assistance service in individual cases of assistance. Participates in conducting thematic examination of the ILC. Draws up in the prescribed manner an expert protocol, expert opinion, and other documents on the examination of the ILC. Conducts an analysis and formalized description of identified medical errors, their cause-and-effect relationships, negative consequences and possibilities for their prevention in the future in order to improve the process of providing medical care. Consults employees of health care facilities on the examination of ILC and the use of its results in practical activities. Prepares analytical reports and expert opinions based on the results of ILC examinations. Informs doctors, average medical staff and other employees of the institution about the results of examinations of the ILC and measures taken to improve it. Presents the results of medical examinations at meetings of the medical commission, the commission for the study of lethal outcomes (CILI), medical conferences and production meetings. Conducts analysis and synthesis of the results of non-departmental examination of the Commission. Monitors and ensures compliance with the procedure and deadlines for the implementation of targeted and thematic examinations of the Medical Medical Center, the rules for recording their results, the preservation of medical confidentiality and compliance with the rules of medical ethics, and the safety of medical documentation. Participates in information and logistical support for conducting ILC examinations. Carries out the selection of medical documentation necessary for the examination of the ILC, and transfers it to the ILC experts for temporary use. Prepares reporting data on the examination of the ILC. Summarizes ILC examination data and, based on a systematic statistical analysis of its results, prepares proposals and projects management decisions to improve the ILC. Carries out the formation and maintenance of a database on the conduct and results of medical examinations in the institution. Participates in improving the motivation system and increasing the responsibility of employees in the field of quality. Carries out, within its competence, interaction with external organizations on issues of examination of the ILC. Participates in the reception of the population, analysis of complaints and claims regarding the ILC. Conducts an analysis of complaints and claims regarding health care issues of consumers and other interested parties (CHI fund, health insurance company, public organizations to protect the rights of patients, etc.), studying the reasons for the low quality of medical services, violations of standards and other regulations, developing proposals to eliminate shortcomings. Systematically improves his own professional qualifications. Performs other functions on behalf of management in accordance with the goals and objectives of the institution.

3. Rights

The KMP expert has the right:

1. receive the necessary medical documentation for the examination of the ILC;
2. receive regulatory, legal and methodological documents on their profile of activity received by the institution for familiarization, systematized recording and use in work;
3. apply for the involvement of experts from a different clinical profile in the examination of the CMP;
4. demand from other experts of the KMP compliance with the requirements of current regulations, the procedure and timing of work, and the rules for drawing up established documentation;
5. when working in a group of ILC experts, express in an expert opinion a special opinion that differs from the opinion of other experts;
6. receive and transfer for temporary use to other ILC experts medical records and other medical documentation for conducting the ILC examination;
7. present the results of the examination of the ILC at meetings of the medical commission, commission for the study of lethal outcomes;

• draft local regulations and guidance documents regulating the procedure for conducting and using the results of the examination of the ILC;

1. improve your skills.

The KMP expert uses everyone labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The KMP expert is responsible for:

1. the quality and objectivity of the examination carried out by the Commission within the limits of its powers and competence;
2. giving a knowingly false expert opinion;

For violation of labor discipline, legislative and regulatory acts, a commission expert may be brought to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

SAMPLE JOB DESCRIPTION FOR THE HEAD OF THE QUALITY DEPARTMENT OF MEDICAL CARE IN A HEALTHCARE INSTITUTION<*>

1. General Provisions

1. This job description defines the job responsibilities, rights and responsibilities of the head of the medical care quality department (QMC) in a healthcare institution.
2. A person with a higher professional education in the specialty “General Medicine”, “Pediatrics”, postgraduate education and (or) additional professional education, a certificate of a specialist in a clinical specialty or a specialty “Healthcare Organization and Public Health”, work experience is appointed to the position of head of the clinical medical care department in the field of professional activity for at least 5 years.
3. The head of the ILC department must know: the Constitution of the Russian Federation; fundamentals of the legislation of the Russian Federation on healthcare; fundamentals of management, social hygiene, organization and economics of healthcare, health insurance, medical statistics; fundamentals of quality management (principles, functions, methods, quality management systems, legal, documentation, information and methodological support, statistical quality control); regulatory documents on the management and examination of ILC; organization of medical, economic and financial activities healthcare institutions; basics of medical ethics and deontology; legal aspects of medical practice; basics of document flow, statistical accounting and forms of statistical reporting in their area of ​​activity; fundamentals of scientific organization of labor; psychology of professional communication; internal labor regulations; basics of labor legislation; labor protection and fire safety rules.
4. The head of the ICU department is appointed and dismissed by order of the chief physician in accordance with the current legislation of the Russian Federation.
5. The head of the ILC department is directly subordinate to the chief physician or his deputy for the medical unit or for the ILC (if such a position exists).

2. Job responsibilities

Manages department activities based on implementation management functions planning, organization, motivation and control in accordance with the Regulations on the ILC department, its functions and tasks. Improves forms and methods of work, planning and forecasting of department activities, placement of personnel in workplaces and their use in accordance with qualifications. Participates in the development, implementation and maintenance of the quality management system in the institution on the basis of its continuous improvement and the use of modern information and organizational technologies for quality management. Develops and participates in carrying out measures to improve the IMP, ensuring its compliance with the modern level of development medical science and regulatory requirements. Participates in the development and improvement of local regulations in the field of ILC. Carries out the formation and maintenance of a database on ILC in the institution, analysis and synthesis of information on the state of ILC in structural units for different disease profiles. Prepares recommendations, proposals, and draft management decisions to improve the IMP. Participates in improving the motivation system and increasing the responsibility of employees in the field of quality. Carries out relations with the public, professional medical organizations, authorities, the media and other interested parties on ILC issues. Participates in the reception of the population, analysis of complaints and claims regarding the ILC. Conducts an analysis of complaints and claims regarding medical health care issues of consumers and other interested parties (compulsory medical insurance fund, self-care organization, public organizations for the protection of patients' rights, etc.), studies the reasons for the low quality of medical services, violations of standards and other regulations, develops proposals to eliminate deficiencies. Plans and organizes training for institution employees on ILC issues. Organizes the examination of medical medical care in the institution in accordance with the current rules, requirements of standards and other regulations, and the terms of contracts for the provision of medical care. Forms a register of experts of the institution's ILC. Participates in conducting examinations of the ILC. Prepares analytical reports and expert opinions based on the results of the ILC examination. Informs doctors, nursing staff and other employees of the institution about the state of the ICM and measures taken to improve it. Presents the results of the medical examination examination at meetings of the medical commission, CILI, conferences, and meetings of doctors. Conducts analysis and synthesis of the results of non-departmental examination of the Commission. Prepares reporting data on the activities of the institution and its structural divisions on examination and management of ILC. Carries out operational quality control at all stages of the diagnostic and treatment process, during procurement medicines, medical equipment, Supplies. Participates in preparing the institution for licensing and accreditation. Within its competence, interacts with external organizations on ILC issues. Coordinates the activities of the department with other structural divisions of the medical organization, ensures their interaction in their work. Supervises the work of department staff. Ensures compliance with labor laws and labor protection in the department. Takes measures to ensure that department employees fulfill their job responsibilities and internal labor regulations. Develops promising and current plans the work of the department, monitors the implementation of these plans. Analyzes the work of the department for the reporting period, submits a report on the work of the department in the prescribed manner. Monitors the quality of documentation. Plans and organizes additional professional education for employees of the department (advanced training, professional retraining). Systematically improves his own professional qualifications. Performs other functions on behalf of management in accordance with the goals and objectives of the institution.

3. Rights

The head of the KMP department has the right:

1. give orders that are mandatory for execution by employees subordinate to him;
2. receive documents and other information materials received by the organization on their profile of activity for familiarization, systematic recording and use in work;
3. request and receive from the heads of the organization and its structural divisions the information necessary to perform the tasks and functions assigned to it;
4. carry out, within the limits of their competence, inspection and coordination of the activities of structural units on issues of support and control of the ILC, and report the results of inspections to the management of the institution;
5. make proposals to the management of the organization to improve the forms and methods of work in the field of quality, including:

• draft local regulations and guidance documents regulating the procedure for conducting and using the results of the examination of clinical medical care in a medical institution;
• draft local regulations and guidelines governing the organization and conditions of medical care, including standards of medical care;
• programs, plans, projects of management decisions to improve ICM in a medical institution;
• proposals for adjusting measures aimed at improving the ILC, based on the results of operational monitoring using ILC indicators;
• draft decisions on measures aimed at restoring the violated rights of citizens in connection with improper ILC;
• proposals for improving the work of the ILC department;
• proposals for material and moral incentives for doctors, other employees, and structural divisions of the institution based on the results of the examination of the medical center;
• proposals for financial incentives for doctors and other employees who provide medical examinations;

1. initiate an examination of the ILC on individual cases, thematic examinations of the ILC, as well as a meta-examination of the ILC;
2. carry out operational control of the ILC using ILC indicators to assess the effectiveness of work to improve the ILC;
3. participate in the selection and placement of personnel according to their profile;
4. make proposals to the management of the organization for advanced training, encouragement and imposition of penalties on employees of the department and other structural divisions of the organization in their field of activity;
5. hold meetings and conferences on ILC issues;
6. participate in institutional meetings and other events when considering ILC issues;
7. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;
8. improve your skills.

The head of the KMP department enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The head of the KMP department is responsible for:

1. timely and high-quality implementation of the duties assigned to him;
2. organization of the department’s work, timely and qualified execution of orders, instructions, instructions from senior management, current regulations in its field of activity;
3. the state of labor and performance discipline in the department, the performance by its employees of their functional duties;
4. provision of statistical and other information on its activities in the prescribed manner;
5. safety of medical, official and other secrets protected by law;
6. compliance by department employees with internal regulations, sanitary and anti-epidemic regulations, fire safety and safety regulations;
7. the department's readiness to work in emergency situations.

For violation of labor discipline, legislative and regulatory legal acts, the head of the labor commission department may be brought to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

SAMPLE JOB DESCRIPTION FOR THE ORGANIZER OF THE QUALITY OF MEDICAL CARE EXAMINATION<*>IN A HEALTH CARE INSTITUTION<**>

1. General Provisions

1. This job description defines the job responsibilities, rights and responsibilities of the organizer of the examination of the quality of medical care (QMC) in a healthcare institution.
2. A person with a higher professional education in the specialty “General Medicine”, “Pediatrics”, postgraduate education and (or) additional professional education, a certificate of a specialist in a clinical specialty or a specialty “Healthcare Organization and Public Health” without presenting requirements is appointed to the position of organizer of the examination of clinical medical care. work experience, possessing special knowledge and practical skills in planning and organizing the examination of the IMP, summarizing and statistical analysis of its results, preparing draft management decisions to improve the IMP.
3. The organizer of the ILC examination must know: the Constitution of the Russian Federation; fundamentals of the legislation of the Russian Federation on healthcare; social hygiene, organization and economics of health care, health insurance, medical statistics; fundamentals of quality management (principles, functions, methods, quality management systems, legal, documentation, information and methodological support, statistical quality control); regulatory documents on the management and examination of ILC; basics of medical ethics and deontology; legal aspects of medical practice; basics of document flow, statistical accounting and forms of statistical reporting in their area of ​​activity; fundamentals of scientific organization of labor; psychology of professional communication; internal labor regulations; basics of labor legislation; labor protection and fire safety rules.
4. The organizer of the ILC examination carries out its activities in accordance with the Regulations on the procedure for organizing and conducting the ILC examination in a medical organization, the Regulations on the ILC service in a medical organization, the Regulations on the ILC department (if any), methodological and instructional documents on the procedure for organizing and conducting the ILC examination , this job description.
5. The organizer of the medical examination examination is appointed and dismissed by order of the head of the medical organization in accordance with the current legislation of the Russian Federation.
6. The organizer of the ILC examination is directly subordinate, depending on the organizational structure and staffing, to the head of the organizational and methodological department or the head of the ILC department (if there is one), or the deputy chief physician for the medical unit, or the deputy chief physician for the ILC (if such a position exists).

2. Job responsibilities

Plans and organizes medical examinations at the institution in accordance with current regulations and terms of contracts for the provision of medical care. Carries out quality control of the ILC examination. Forms a register of experts of the medical care institution of a healthcare institution. Participates in conducting examinations of the ILC. Prepares analytical reports and expert opinions based on the results of ILC examinations. Informs doctors, nursing staff and other employees of the institution about the results of examinations of the IMC and measures taken to improve it. Presents the results of medical examinations at meetings of the medical commission, the commission for the study of lethal outcomes (CILI), medical conferences and production meetings. Conducts analysis and synthesis of the results of non-departmental examination of the Commission. Monitors and ensures compliance with the procedure and deadlines for the implementation of targeted and thematic examinations of the Medical Medical Center, the rules for recording their results, the preservation of medical confidentiality and compliance with the rules of medical ethics, and the safety of medical documentation. Participates in information and logistical support for the examination of the ILC in the institution. Carries out the selection of medical documentation necessary for the examination of the ILC, and transfers it to the ILC experts for temporary use. Prepares reporting data on the examination of the ILC. Summarizes the data from the examination of the IMP and, based on a systemic statistical analysis of its results, prepares proposals and draft management decisions to improve the IMP. Carries out the formation and maintenance of a database on the conduct and results of medical examinations in the institution. Participates in improving the motivation system and increasing the responsibility of employees in the field of quality. Carries out, within its competence, interaction with external organizations on issues of examination of the ILC. Participates in the reception of the population, analysis of complaints and claims regarding the ILC. Conducts an analysis of complaints and claims regarding medical health care issues of consumers and other interested parties (compulsory medical insurance fund, self-care organization, public organizations for the protection of patients' rights, etc.), studies the reasons for the low quality of medical services, violations of standards and other regulations, develops proposals to eliminate deficiencies. Plans and organizes training for employees of the institution on the issues of ILC examination. Systematically improves his own professional qualifications. Performs other functions on behalf of management in accordance with the goals and objectives of the institution.

3. Rights

The organizer of the ILC examination has the right:

1. receive documents and other information materials received by the institution on their profile of activity for familiarization, systematized recording and use in work;
2. request and receive from the heads of the institution and its structural divisions the information necessary to perform the tasks and functions assigned to it;
3. carry out, within the limits of their competence, inspection and coordination of the activities of the institution’s structural divisions on issues of ILC examination, report the results of inspections to the management of the institution;
4. give suggestions on personnel the institution's ILC expert group;
5. carry out quality control of the work of KMP experts;
6. Demand that KMP experts comply with the procedure and deadlines for completing work, and the rules for drawing up examination documents;
7. receive and transfer for temporary use to ILC experts medical records and other medical documentation for conducting an ILC examination;
8. petition for the recusal of the ILC expert;
9. initiate an examination of the ILC in individual cases, thematic examinations of the ILC, and a meta-examination of the ILC;
10. make proposals to the management of the institution to improve the examination of the ILC, including:

• draft local regulations and instructional documents regulating the procedure for conducting and using the results of the ILC examination in an institution;
• proposals for material and moral incentives for doctors, other employees, and structural divisions of the institution based on the results of the examination of the medical center;
• proposals for financial incentives for doctors and other employees who provide medical examinations;

1. hold meetings and conferences on ILC examination issues;
2. participate in institutional meetings and other events when considering issues of examination of the ILC;
3. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;
4. improve your skills.

The organizer of the KMP examination enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The organizer of the ILC examination is responsible for:

1. timely and high-quality implementation of the duties assigned to him (planning, organization and quality control of the examination of the ILC);
2. timely and qualified execution of orders, instructions, instructions from senior management, current regulations in their field of activity;
3. safety medical documents received for temporary use for the examination of the ILC;
4. safety of medical, official and other secrets protected by law;
5. timely and high-quality execution of medical and other official documentation provided for by current regulations;
6. provision of statistical and other information on its activities in the prescribed manner;
7. compliance with internal regulations, fire and safety regulations, sanitary and anti-epidemic regime;
8. promptly taking measures, including timely informing management, to eliminate violations of safety regulations, fire safety and sanitary rules that pose a threat to the activities of the medical organization, its employees, patients and visitors.

For violation of labor discipline, legislative and regulatory acts, the organizer of the examination of the labor commission may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

DEPUTY CHIEF PHYSICIAN FOR CLINICAL EXPERT WORK 1. General provisions

1. This job description defines the job responsibilities, rights and responsibilities of the deputy chief physician for clinical expert work.
2. A qualified specialist with a higher medical education and experience in medical and organizational work and completed specialization in clinical expert work.
3. The deputy chief physician for clinical expert work must know: the basics of the legislation of the Russian Federation on healthcare; regulatory documents on clinical expert work; regulations regulating the activities of healthcare institutions; medical statistics; domestic and Foreign experience clinical expert work; basics of social hygiene and healthcare organization; rules and regulations of labor protection, safety, industrial sanitation and fire protection.
4. The deputy chief physician for clinical expert work is appointed and dismissed by order of the chief physician in accordance with the current legislation of the Russian Federation.
5. The Deputy Chief Physician for Clinical Expert Work is directly subordinate to the Chief Physician.

2. Job responsibilities

Organizes work to control the quality of medical activities of health care facilities, its divisions and individual specialists. Heads the clinical expert commission and provides conditions for its effective work. Participates in the development of models of the final results of the activities of this institution, departments and specialists, presents them to the clinical expert commission for approval and implementation. Monitors the implementation of medical and economic standards for the provision of medical care, the implementation of end result models, and the examination of temporary disability. Participates as a consultant in solving complex clinical and expert issues. Conducts morbidity analysis, incl. with loss of temporary disability. Manages the development and implementation of measures to reduce them. Analyzes clinical expert errors, incl. on examination of temporary disability. Based on error analysis materials, makes decisions within the limits of competence. Interacts with medical and social expert commissions, as well as with medical insurance companies, territorial funds of compulsory health insurance and social insurance. Considers their claims and claims. Organizes advanced training for the institution’s specialists on clinical expert work, incl. examination of temporary disability. Quarterly organizes medical conferences on issues of quality of medical care, morbidity, incl. with temporary disability, with analysis of medical errors. Considers requests from patients regarding the quality of medical care and examination of temporary disability, vocational guidance and professional suitability. Monitors the maintenance of medical documentation, statistical records and reporting on supervised sections of work.

3. Rights

The Deputy Chief Physician for Clinical Expert Work has the right to:

1. control the work of structural units and individual specialists of the institution in their area of ​​activity;
2. take part in meetings and scientific and practical conferences on clinical expert work;
3. make proposals to improve medical care and its expertise, reduce morbidity and labor losses due to illness;
4. make proposals to the management of the institution to encourage and impose penalties on employees of the medical organization for their activities;
5. request from management, receive and use information materials and regulatory documents necessary to perform their official duties;
6. undergo certification in the prescribed manner with the right to receive the appropriate qualification category;
7. improve your skills.

The Deputy Chief Physician for Clinical Expert Work enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The Deputy Chief Physician for Clinical Expert Work is responsible for:

1. timely and high-quality implementation of the duties assigned to him;
2. organization of clinical expert work in medical institution, objectivity of expert opinions, advanced training of doctors on issues of examination of temporary disability;
3. timely and qualified execution of orders, instructions and instructions from senior management, regulations on their activities;
4. rational and efficient use material, financial and human resources;
5. compliance with internal regulations, sanitary and anti-epidemic regulations, fire safety and safety regulations;
6. maintaining documentation provided for by current regulations;
7. provision of statistical and other information on its activities in the prescribed manner;
8. readiness to work in emergency situations.

For violation of labor discipline, legislative and regulatory acts, the deputy chief physician for clinical expert work may be subject to disciplinary, material, administrative and criminal liability in accordance with current legislation, depending on the severity of the offense.

First Moscow State

Medical University named after I.M.Sechenova

JOB DESCRIPTION OF THE DEPUTY CHIEF PHYSICIAN OF THE HOSPITAL FOR CLINICAL EXPERT WORK

I. General provisions

1. The Deputy Chief Physician for Clinical Expertise heads the work of monitoring the quality and effectiveness of treatment and preventive activities in the hospital.
2. An experienced clinician with a specialist certificate, higher or first, is appointed to the position of deputy chief physician of the hospital for clinical expert work. qualification category, work experience as a department head and possessing organizational skills.
3. Appointed and dismissed by the chief physician of the hospital in accordance with current legislation.
4. Reports directly to the chief physician of the hospital.
5. Its activities are guided by:
   - current legislation,
   - Hospital Charter,
   - resolutions, decisions, orders and instructions higher authorities healthcare according to the performed section of work,
   - orders and instructions of the chief physician,
   - these instructions.
6. _________________________________________________________________.

II. Job responsibilities

1. Organizes work to control the quality of medical activities of the hospital, its departments and individual specialists.
2. He is the chairman of the clinical expert commission of the hospital and provides conditions for its effective work.
3. Systematically checks the quality, completeness of the examination, timeliness and validity of referring patients to a clinical expert commission (CEC).
4. Monitors the implementation of medical and economic standards of medical care, the implementation of the final results of examination and treatment, and the examination of temporary disability.
5. Participates as a consultant in solving complex clinical and expert issues.
6. Conducts once a quarter medical conferences on issues of morbidity with temporary and permanent disability with an analysis of the most typical errors of doctors when conducting a disability examination.
7. We interact with medical and social expert commissions, as well as with medical insurance organizations and territorial compulsory health insurance funds to consider their claims and claims.
8. Provides advanced training for doctors on issues of clinical expert work, including examination of temporary disability.
9. Considers patient requests regarding the quality of medical care and examination of temporary disability, vocational guidance and suitability.
10. Monitors the maintenance of medical documentation, statistical records, and reporting on supervised sections of work.
11. Systematically improves professional qualifications.
12. _________________________________________________________________.
13. _________________________________________________________________.

III. Rights

1. Monitor and evaluate the work of doctors on issues of clinical expert work and examination of temporary disability.
2. To be involved as a medical expert in the work of the licensing and accreditation commission, insurance medical organizations on a contractual basis.
3. Take part in meetings and conferences on issues of treatment and preventive care.
4. Make proposals to the chief physician of the hospital to reward employees who have good performance in their work, or to punish individuals who have committed gross violations in clinical expert work.
5. Systematically improve professional qualifications through advanced training courses in the prescribed manner.
6. Make decisions within your competence.
7. _________________________________________________________________.
8. _________________________________________________________________.

IV. Responsibility

1. Responsible for organizing clinical expert work in the hospital; for failure to fulfill the duties provided for in these instructions and the internal labor regulations of the hospital.
2. _________________________________________________________________.
3. _________________________________________________________________.

Job description of a medical specialist

[name of organization, enterprise, etc.]

This job description has been developed and approved in accordance with the provisions Labor Code Russian Federation and other regulations governing labor relations in the Russian Federation.

1. General Provisions

1.1. A person who has a higher medical education, a document conferring the title of medical specialist and a qualification category is appointed to the position of a medical specialist.

1.2. Appointment to the position of a medical specialist and dismissal from it are made by order of the head of the healthcare institution.

1.3. A medical specialist should know:

Laws of the Russian Federation and other regulatory legal acts on healthcare issues;

Methods of providing medicinal and emergency medical care to the population;

Theoretical knowledge in the chosen specialty, in organizational, diagnostic, advisory, therapeutic, preventive work;

Modern methods of treatment, diagnosis and drug provision for patients;

Fundamentals of medical labor examination;

Ways of interaction with other medical specialists, various services, institutions, organizations, including insurance companies, physician associations, etc.;

Fundamentals of the functioning of budgetary insurance medicine and the provision of sanitary, preventive and medicinal care to the population;

Legislation on labor and labor protection of the Russian Federation;

Rules and regulations of labor protection, safety, industrial sanitation and fire protection;

Internal labor regulations;

- [fill in what you need].

1.4. The specialist doctor reports directly to [the head of the department; chief physician; Deputy Chief Physician for Medical Work].

1.5. During the absence of a medical specialist (business trip, vacation, illness, etc.), his duties are performed by a person appointed by order of the head of the institution.

1.6. [Enter as appropriate].

2. Job responsibilities

Medical specialist:

2.1. Provides the population with constant, emergency and urgent medical care in its specialty, using modern methods of prevention, diagnosis, treatment and rehabilitation.

2.2. Plans and analyzes his work.

2.3. Organizes and independently conducts special diagnostic studies and interprets their results.

2.4. Prepares medical documentation of the established form in accordance with the requirements of the health authorities of the Russian Federation.

2.5. Participates in the examination of patients' disability.

2.6. Provides advisory assistance in departments of the medical institution.

2.7. Complies with the principles of medical ethics and deontology.

2.8. Improves your qualifications.

2.9. Controls and organizes the work of nursing and junior medical personnel subordinate to him.

2.10. [Enter as appropriate].

3. Rights

A specialist doctor has the right:

3.1. Conclude agreements for the provision of medical services within the framework of compulsory and voluntary health insurance programs with any bodies, enterprises, institutions, insurance companies in the manner prescribed by law.

3.2. Make proposals for improving medical and social care.

3.3. Take part in meetings, scientific and practical conferences on issues of treatment and preventive care.

3.5. Use medical institutions to improve your qualifications under the terms of a contract with payment both at the expense of the employer and at your own expense.

3.6. Conduct, in accordance with the established procedure, an examination of the quality of medical care provided to the patient by other specialists.

3.7. [Enter as appropriate].

4. Responsibility

The medical specialist is responsible for:

4.1. For improper performance or failure to fulfill one’s job duties as provided for in this job description - within the limits of the current labor legislation of the Russian Federation.

4.2. For illegal actions or inaction that resulted in damage to the health or death of the patient, other offenses committed in the course of carrying out their activities - within the limits of the current administrative, criminal and civil legislation of the Russian Federation.

4.3. For errors in carrying out medical treatment that entailed grave consequences for the patient - within the limits of the current administrative, civil and criminal legislation of the Russian Federation.

4.4. [Enter as appropriate].

The job description has been developed in accordance with [name, number and date of document].

Head of structural unit

[initials, surname]

[signature]

[day month Year]

Agreed:

Head of the legal department

[initials, surname]

[signature]

[day month Year]

I have read the instructions:

[initials, surname]

[signature]

[day month Year]

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