JOINT ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN AND MINISTER OF NATIONAL ECONOMY OF THE REPUBLIC OF KAZAKHSTAN

of November 15, 2018 No. KR DSM-32, 15 of November, 2018 No. 70

About approval of criteria for evaluation of risk degree and checking sheets in spheres of quality of rendering medical services, drug circulation and medical products

According to Items 5 and 6 of Article 141, Item 1 of article 143 of the Entrepreneurial code of the Republic of Kazakhstan PRIKAZYVAYEM:

1. Approve:

1) criteria for evaluation of risk degree in the sphere of rendering medical services (help) according to appendix 1 to this joint order;

2) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving stationary, hospital-replacing help according to appendix 2 to this joint order;

3) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving out-patient and polyclinic help (primary health care and the consulting and diagnostic help) according to appendix 3 to this joint order;

4) checking leaf in the sphere of the state quality control of rendering medical services concerning the subjects (objects) of obstetric aid and (or) the stationary organizations incorporating delivery rooms and departments of pathology of newborns according to appendix 4 to this joint order;

5) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving cardiological, cardiac help according to appendix 5 to this joint order;

6) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving hemodialysis help according to appendix 6 to this joint order;

7) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving dental help according to appendix 7 to this joint order;

8) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving ftiziatrichesky help according to appendix 8 to this joint order;

9) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving oncological help according to appendix 9 to this joint order;

10) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving the medico-public assistance in area of mental health according to appendix 10 to this joint order;

11) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) providing laboratory services according to appendix 11 to this joint order;

12) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) providing emergency medical service, medical care in the form of medical aircraft according to appendix 12 to this joint order;

13) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) performing activities in the sphere of prevention of HIV infection according to appendix 13 to this joint order;

14) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) performing activities in the sphere of service of blood according to appendix 14 to this joint order;

15) criteria for evaluation of risk degree in the sphere of drug circulation, products of medical appointment and medical equipment according to appendix 15 to this joint order;

16) checking leaf in the sphere of drug circulation and medical products on compliance to qualification requirements concerning subjects (objects) of control according to appendix 16 to this joint order;

17) checking leaf in the sphere of drug circulation, products of medical appointment and medical equipment concerning the medical organizations for provision of medicines according to appendix 17 to this joint order;

18) checking leaf in the sphere of drug circulation, products of medical appointment and medical equipment concerning subjects (objects) of pharmaceutical activities performing production of medicines, products of medical appointment and medical equipment according to appendix 18 to this joint order;

19) checking leaf in the sphere of drug circulation, products of medical appointment and medical equipment concerning subjects (objects) of pharmaceutical activities performing production of medicines and products of medical appointment according to appendix 19 to this joint order;

20) checking leaf in the sphere of drug circulation, products of medical appointment and medical equipment concerning subjects (objects) of pharmaceutical activities enabling wholesale of medicines, products of medical appointment and medical equipment according to appendix 20 to this joint order;

21) checking leaf in the sphere of drug circulation, products of medical appointment and medical equipment concerning subjects (objects) of pharmaceutical activities enabling retail sale of medicines, products of medical appointment and medical equipment according to appendix 21 to this joint order;

22) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) rendering pathoanatomical diagnostics according to appendix 22 to this joint order;

23) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects), irrespective of activities according to appendix 23 to this joint order;

24) checking leaf in the sphere of the state quality control of rendering medical services concerning subjects (objects) giving help in the field of nuclear medicine according to appendix 24 to this joint order;

25) checking leaf in the sphere of drug circulation and medical products concerning the state expert organization in the sphere of drug circulation and medical products according to appendix 25 to this joint order.

2. Declare invalid the joint order of the Minister of health and social development of the Republic of Kazakhstan of December 29, 2015 No. 1064 and the Minister of national economy of the Republic of Kazakhstan of December 29, 2015 No. 831 "About approval of criteria for evaluation of risk degree and checking sheets in spheres of quality of rendering medical services, drug circulation, products of medical appointment and medical equipment" (it is registered in the Register of state registration of regulatory legal acts for No. 12763, it is published on March 25, 2016 in information system of law of Ad_let).

3. To provide to committee of protection of public health of the Ministry of Health of the Republic of Kazakhstan:

1) state registration of this joint order in the Ministry of Justice of the Republic of Kazakhstan;

2) within ten calendar days from the date of state registration of this joint order the direction it the copy in the Kazakh and Russian languages in the Republican state company on the right of economic maintaining "The republican center of legal information" for official publication and inclusion in Reference control bank of regulatory legal acts of the Republic of Kazakhstan;

3) placement of this joint order on official Internet resources of the Ministry of Health of the Republic of Kazakhstan and the Ministry of national economy of the Republic of Kazakhstan after its official publication;

4) within ten working days after state registration of this joint order in the Ministry of Justice of the Republic of Kazakhstan submission to Department of legal service of the Ministry of Health of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1), 2) and 3) of this Item.

4. To impose control of execution of this joint order on the vice-Minister of Health of the Republic of Kazakhstan.

5. This joint order becomes effective after ten calendar days after day of its first official publication.

 

Appendix 1

to the joint Order of the Minister of Health of the Republic of Kazakhstan and the Minister of national economy of the Republic of Kazakhstan of November 15, 2018 No. KR DSM-32, 15 of November, 2018 No. 70

Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

Chapter 1. General provisions

1. These Criteria for evaluation of degree of risks in the sphere of rendering medical services (help) (further – Criteria) are developed according to Items 5 and 6 of Article 141 and Item 1 of article 143 of the Entrepreneurial code of the Republic of Kazakhstan, the order of the acting minister of national economy of the Republic of Kazakhstan of June 22, 2022 No. 48 "About approval of Rules of forming by regulatory state agencies of system of assessment and risk management and about introduction of amendments to the order of the acting minister of national economy of the Republic of Kazakhstan of July 31, 2018 No. 3 "About approval of Rules of forming by state bodies of system of risks assessment and form of checking sheets"" (it is registered in the Register of state registration of regulatory legal acts at No. 28577) and the order of the acting minister of national economy of the Republic of Kazakhstan of July 31, 2018 No. 3 "About approval of form of checking leaf" (it is registered in the Register of state registration of regulatory legal acts at No. 17371).

2. In these Criteria the following concepts are used:

1) point – quantitative measure of calculation of risk;

Insignificant violations – violations of requirements of the legislation of the Republic of Kazakhstan in health sector which non-compliance entailed and (or) can entail 2) formally allowed, but not done any notable harm to the population;

3) considerable violations – violations, including the discrepancies to requirements of the legislation in the field of health care which are not relating to gross and insignificant violations;

4) risk in the sphere of rendering medical services – probability of damnification of life or to health of the person, legitimate interests of physical persons and legal entities, the states as a result of implementation of medical activities of the subject of control;

5) gross violations – intentional or careless obvious and fundamental breach of the legislation of the Republic of Kazakhstan in health sector which non-compliance entailed and (or) can entail heavy consequences to health of the population;

6) system of assessment and risk management – process of acceptance of the management decisions directed to decrease in probability of approach of adverse factors by distribution of subjects (objects) of control on risk degrees for the subsequent implementation of preventive control with visit of subject (object) of control and (or) checks on compliance to qualification requirements (further – check on compliance to requirements) for the purpose of minimum possible extent of restriction of freedom of enterprise, providing at the same time admissible risk level, and also directed to change of risk level for specific subject (object) of control and (or) release of such subject (object) of control from preventive control with visit of subject (object) of control and (or) checks on compliance to requirements;

7) objective criteria for evaluation of risk degree (further – objective criteria) – the criteria used for selection of subjects (objects) of control depending on risk degree in the sphere of rendering medical services when implementing activities and which are not depending directly on separate subject (object) of control;

8) subjective criteria for evaluation of risk degree (further – subjective criteria) – the criteria for evaluation of risk degree used for selection of subjects (objects) of control for carrying out preventive control and check on compliance to requirements depending on results of activities of specific subject (object) of control.

3. Criteria for evaluation of risk degree for conducting check on compliance to requirements or allowing requirements for the issued permissions, requirements for directed notifications according to the Law of the Republic of Kazakhstan "About permissions and notifications" and preventive control with visit of subject (object) of control are created by means of determination of objective and subjective criteria.

Chapter 2. Objective criteria for evaluation of risk degree for conducting checks on compliance to requirements and preventive control of subjects (objects) of control

4. Determination of objective criteria is performed by means of risk identification of the state control which is exercised taking into account one of the following criteria:

1) the level of danger (complexity) of subject (object) depending on the performed activities;

2) scales of weight of possible negative consequences of harm in the course of implementation of medical activities;

3) possibilities of adverse effect on health of the person, legitimate interests of physical persons and legal entities, states.

5. On the basis of the analysis of all possible risks subjects (objects) of control are distributed on three risk degrees (high, average and low).

The organizations giving stationary help (district hospital, number district hospital, multi-profile interdistrict hospital, city hospital, multi-profile city hospital, multi-profile city children's hospital, multi-profile regional hospital, multi-profile regional children's hospital), subjects (objects) of obstetric aid, the organization of emergency medical service and medical aircraft, the organizations performing activities in the sphere of service of blood, dental polyclinic (the center, office), the ftiziopulmonologichesky organizations, the oncological center or dispensary, the centers of nuclear medicine, the organization of medicine of catastrophic crashes, the organizations of health care performing activities in the sphere of prevention of HIV infection treat subjects (objects) of control of high risk.

Subjects (objects) giving primary health care (medical aid station, medical and obstetrical center, medical out-patient clinic, the center of primary health care, number district clinic, district clinic, city polyclinic), subjects (objects) providing specialized medical care in out-patient conditions, the organizations of health care performing pathoanatomical diagnostics, the organizations of health care performing the laboratory diagnostics, the stationary organizations providing medical care in the field of mental health, objects of traditional medicine belong to subjects (objects) of control of average risk degree.

Subjects (objects) of control performing recovery treatment and medical rehabilitation and subjects (objects) of control giving palliative care and sisterly leaving belong to subjects (objects) of control of low risk degree.

6. Concerning subjects (objects) of control carried to high and average risk degree are carried out check on compliance to requirements, preventive control with visit of subject (object) of control, preventive control without visit of subject (object) of control and unscheduled inspection.

7. Concerning subjects (objects) of control carried to low risk degree are carried out check on compliance to requirements, preventive control without visit of subject (object) of control and unscheduled inspection.

Chapter 3. Subjective criteria for evaluation of risk degree for conducting checks on compliance to requirements and preventive control of subjects (objects) of control

8. Determination of subjective criteria is performed using the following stages:

1) forming of the database and information collection;

2) information analysis and risks assessment.

9. Forming of the database and information collection are necessary for identification of subjects (objects) of control violating the law of the Republic of Kazakhstan.

Processes of data collection and processing are fully automated and allow possibility of check of correctness of the obtained data.

10. For determination of subjective criteria for evaluation of degree of risks for carrying out preventive control with visit of subject (object) of control the following sources of information are used:

1) results of the previous checks and preventive control with visit of subjects (objects) of control (at the same time severity of violations is established in case of non-compliance with the requirements established in checking sheets);

2) results of monitoring of the reporting and the information provided by the subject of control;

3) availability and the number of the confirmed claims, addresses from physical persons and legal entities for the estimated period;

4) analysis results of the information provided by state bodies and the organizations;

5) results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).

11. For determination of subjective criteria for evaluation of degree of risks for conducting check on compliance to qualification requirements the following sources of information are used:

1) availability and the number of the confirmed claims and addresses to subjects (objects) of control which arrived from physical persons or legal entities, state bodies;

2) results of the previous checks concerning subjects (objects) of control;

3) results of certification, advanced training of employees of subjects of control over the last 5 years;

4) results of accreditation of subjects of control in case of urgency of the issued permissions.

12. Based on the available information sources, regulatory state agencies create the subjective criteria which are subject to assessment.

The analysis and assessment of subjective criteria allows to concentrate conducting check on compliance to requirements and preventive control of subject (object) of control concerning subject (object) of control with the greatest potential risk.

At the same time in the analysis and assessment the data of subjective criteria which are earlier considered and used concerning specific subject (object) of control or data according to which the term of limitation period according to the Civil code of the Republic of Kazakhstan expired are not applied.

Concerning the subjects of control which eliminated in full the issued violations following the results of the carried-out previous preventive control with visit and (or) checks on compliance to requirements their inclusion when forming schedules and lists for the next period of the state control is not allowed.

Priority of the applied sources of information and the importance of indicators of subjective criteria are established in criteria for evaluation of risk degree according to the list of subjective criteria for determination of risk degree by subjective criteria in form according to appendices 3, of 4, of 5, of 6, of 7, of 8, of 9, of 10, of 11, of 12, of 13, of 14, of 15, 16 and 17 to these Criteria.

Indicators of subjective criteria are determined for each uniform group of subjects (objects) of control. The specific weight is determined by the importance of indicators of subjective criteria depending on importance of indicator in risk assessment for each uniform group of subjects (objects) of control. Admissible measure values of subjective criteria are regulated by regulatory legal acts of the Republic of Kazakhstan.

13. Extents of violations of requirements in the sphere of rendering medical services (help) are subdivided on rough, considerable and insignificant.

Requirements for conducting checks of compliance to requirements and preventive control of subjects (objects) of control with visit of the subject of control with distribution on degree of the importance of violations and sources of information are given in appendices 1 and 2 to these Criteria. Discrepancy of the requirement determines the corresponding extent of violations.

14. Subjects (objects) of control are exempted from checks on compliance to requirements and preventive control of subjects (objects) of control the next calendar year if at subject (object) of control external complex assessment (accreditation) on activities compliance to accreditation standards is carried out and the certificate on accreditation for the checked period is provided.

15. Check on compliance to requirements and preventive control with visit of subject (object) are carried out depending on purpose and types of activity of objects, according to checking sheets in the sphere of rendering medical services to the population according to appendices 2, of 3, of 4, of 5, of 6, of 7, of 8, of 9, of 10, of 11, of 12, of 13, of 14, of 15, 22, 23 and 24 to this joint order.

16. The basis for purpose of check to compliance to requirements is the schedule approved by regulatory state agency.

17. The basis for purpose of preventive control with visit of subject (object) of control is the semi-annual list of subjects (objects) of control approved by the first head of regulatory state agency.

18. Subjects (objects) of control are transferred using information system from high risk in average risk degree or from average risk degree in low risk degree in the corresponding fields of activity of subjects of control in cases:

1) if in the laws of the Republic of Kazakhstan and criteria for evaluation of risk degree of regulatory state agencies cases of release from preventive control with visit of subject (object) of control or conducting checks are determined.

19. In case of creation of the schedule of checks by control facility on compliance to requirements and semi-annual lists of preventive control with visit of subject (object) of control concerning the same subjects (objects) of control single terms of the period of their carrying out are established.

20. For subjects (objects) of control carried to high risk, frequency rate of conducting check on compliance to requirements is determined by criteria for evaluation of risk degree, but is not more often than once a year.

For subjects (objects) of control carried to average risk degree, frequency rate of conducting checks on compliance to requirements is determined by criteria for evaluation of risk degree, but is not more often than once in two years.

For subjects (objects) of control carried to low risk degree, frequency rate of conducting checks on compliance to requirements is determined by criteria for evaluation of risk degree, but is not more often than once in three years.

Chapter 4. Risk degree procedure of payments by subjective criteria

21. The following procedure of payments of exponent of risk is applied to reference of the subject of control to risk degree according to Item of 3 these Criteria.

22. Measure calculation of risk degree by subjective criteria (R) is perfromed in the automated mode by summing of exponent of risk on violations by results of the previous checks and preventive control with visit of subjects (objects) of control (SP) and exponent of risk by subjective criteria, with the subsequent normalization of values from 0 to 100 points this in the range.

Rprom = SP + SC, where

Rprom – intermediate exponent of risk by subjective criteria,

SP – risk exponent on violations,

SC – risk exponent by subjective criteria.

Calculation is made on each subject (object) of control of uniform group of subjects (objects) of control of each sphere of the state control. At the same time the list of the estimated subjects (objects) of control carried to uniform group of subjects (objects) of control of one sphere of the state control forms sample (selection) for the subsequent normalization of data.

23. According to the data obtained by results of the previous checks and preventive control with visit of subjects (objects) of control the risk exponent on violations estimated in points from 0 to 100 is created.

In case of identification of one gross violation on any of the sources of information specified in Items 10 and 11 of these Criteria, the subject of control the exponent of risk of 100 points is equated and concerning it it is performed on compliance to requirements and (or) preventive control with visit of subject (object) of control.

In case of not identification of gross violations the risk exponent on violations is calculated total indicator on violations of considerable and insignificant degree.

In case of measure definition of considerable violations 0,7 coefficient is applied.

This indicator is calculated by the following formula:

SRZ = (SP2 x 100/SP1) x 0,7, where:

SRZ – indicator of considerable violations;

SP1 – the required number of considerable violations;

SP2 – the number of the revealed considerable violations;

In case of measure definition of insignificant violations 0,3 coefficient is applied.

This indicator is calculated by the following formula:

SRN = (SP2 x 100/SP1) x 0,3, where:

SRN – indicator of insignificant violations;

SP1 – the required number of insignificant violations;

SP2 – the number of the revealed insignificant violations;

The risk exponent on violations (SP) is calculated on scale from 0 to 100 points and is determined by summing of indicators of considerable and insignificant violations by the following formula:

SP = SRZ + SRN, where:

SP – risk exponent on violations;

SRZ – indicator of considerable violations;

SRN – indicator of insignificant violations.

The received risk degree measure value on violations joins in measure calculation of risk degree by subjective criteria.

24. Measure calculation of risk degree by subjective criteria, is made on scale from 0 to 100 points and performed on the following formula:

 

xi – indicator of subjective criterion,

wi – specific weight of indicator of subjective criterion of xi,

n – quantity of indicators.

The received risk degree measure value by subjective criteria, joins in measure calculation of risk degree by subjective criteria.

25. The values calculated by subjects (objects) by indicator are normalized by R in the range from 0 to 100 points. Normalization of data

it is performed on each sample (selection) with use of the following formula:

 

R – risk exponent (final) by subjective criteria of separate subject (object) of control.

Rmax – the greatest possible value on risk degree scale by subjective criteria on subjects (objects) entering one sample (selection) (the upper bound of scale)

Rmin – minimum possible value on risk degree scale by subjective criteria on subjects (objects) entering one sample (selection) (the lower bound of scale)

Rprom – the intermediate exponent of risk by subjective criteria calculated according to Item of 22 these Criteria.

Appendix 1

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

Extents of violations of requirements for conducting check of compliance to requirements of subjects (objects) of control

No. of payment order	Names of requirements	Extent of violations
1	Availability of the certificate of the specialist for the admission to clinical practice	rough
2	Availability of the license and (or) appendix to the license	rough
3	Compliance of the room or building on the property right or lease contracts, or agreements of free use by real estate (loan), either property trust management, or the agreement of public-private partnership to standards of the organization of delivery of health care of profile services for the rendered subspecies of medical activities, and also corresponding to the health regulations establishing sanitary and epidemiologic requirements to health care facilities	rough
4	Availability of the functioning medical and (or) special equipment, the equipment and tools, devices, furniture, stock, transport and other means (if necessary) approved in standards of the organization of delivery of health care of profile services for the rendered subspecies of medical activities and the minimum standards of equipment of the organizations of health care by medical products	rough
5	Availability of specialists in the rendered types of activity	rough
6	Availability of specialization or enhancement and other types of advanced training for the last 5 (five) years on the rendered subspecies of medical activities (except for the graduates of internship, residency, average educational institution which finished training no later than 5 (five) years at the time of check).	rough

 

Appendix 2

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

See Appendix 2

 

Appendix 3

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria in the sphere of rendering medical services (help)

___________________________________________________________________

       according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan concerning subjects (objects) giving out-patient and polyclinic help (primary health care and the consulting and diagnostic help)

_________________________________________________________________
                  name of uniform group of subjects (objects)

___________________________________________________________________ control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
2	Annual figure of pregnancy of women of fertile age with ekstragenitalny pathology to whom pregnancy is absolutely contraindicated -	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-1,9%	from 2% to 4,0 of % of cases	more than 4% of cases
				0%	50%	100%
3	Quantity of cases of death rate from stroke (the MKB-10 code - I 63) at home within 1 month after the statement	results of monitoring of the reporting and the information provided by the subject of control	25,0	0 to 4 cases	From 5 to 9 cases	more than 10 cases
				0%	50%	100%
4	Share of hospitalization of patients with complications of diseases of cardiovascular system (arterial hypertension, myocardial infarction, stroke)	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-9,9%	10% - 19,9 of % of cases	more than 20% of cases
				0%	50%	100%
5	Annual figure of share of patients from ONMK taken on dispensary accounting after the statement from hospital within 3 working days in the place of attachment -	results of monitoring of the reporting and the information provided by the subject of control	10,0	0% of cases	0-9,9% of cases	From 10% of cases
				0%	50%	100%
6	Share of the dead from BSK, from total quantity of the dead, with the diagnosis of MKB-10 (I00-I 99)	results of monitoring of the reporting and the information provided by the subject of control	25,0	0-10%	10,01 – 19,9 of % of cases	more than 20% of cases
				0%	50%	100%
7	Annual figure for the first time the revealed patients with malignant new growths 3-4 stages -	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-9,9%	More than 10%
				0	100%
8	Quantity of cases of child mortality of 0-5 years	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
9	Quantity of cases of maternal death rate	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 4

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria

in the sphere of rendering medical services (help)

___________________________________________________________________________

according to Article 138

___________________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

subjects (objects) rendering stationary hospital-replacing pomoshch_

name of uniform group of subjects (objects)

________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
2	Indicator of postoperative lethality in cases of planned hospitalization -	results of monitoring of the reporting and the information provided by the subject of control	25,0	0-4,9%	5-10,0% of cases	more than 10% of cases
				0%	50%	100%
3	Annual figure of repeated unplanned receipt (within a month concerning the same disease) -	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-5% of cases	5,01-10 of % of cases	More than 10% of cases
				0%	50%	100%
4	Annual figure of lethality in case of planned hospitalization	results of monitoring of the reporting and the information provided by the subject of control	25,0	0 cases	more than 1 cases
				0%	100%
5	Quantity of cases of child mortality of 0-5 years	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
6	Quantity of cases of maternal death rate	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 5

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria

in the sphere of quality of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects), obstetric aid and (or)

the stationary organizations incorporating delivery rooms

and departments of pathology of newborns _

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
2	Quantity of cases of child mortality of 0-5 years	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
3	Quantity of cases of maternal death rate	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
4	Annual figure of lethality in case of planned hospitalization	results of monitoring of the reporting and the information provided by the subject of control	25,0	0 cases	more than 1 cases
				0%	100%
5	Ratio of the emergency and planned Cesarean sections	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-10% of cases	10,1-24,9 of % of cases	more than 25% of cases
				0%	50%	100%
6	Specific weight of cases of patrimonial injury rate	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-10% of cases	10,1-19,9 of % of cases	More than 20% of cases
				0%	50%	100%
7	Indicator of postoperative lethality in cases of planned hospitalization -	results of monitoring of the reporting and the information provided by the subject of control	25,0	0-4,9%	5-9,9% of cases	more than 10% of cases
				0%	50%	100%
8	Quantity of cases of intranatalny death of fruit in the medical organization in the absence of VPR (except for the cards having the diagnosis final the main accompanying specifying with the MKB-10 Q00-Q99 code. 9)	results of monitoring of the reporting and the information provided by the subject of control	25,0	0	1 case
				0%	100%
9	Indicator of repeated unplanned receipt (within a month concerning the same disease) (inflammatory diseases of women's pelvic bodies (N70-N 77))	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-4,99% of cases	5-9,9% of cases	more than 10% of cases
				0	50%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 6

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria

in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) rendering cardiological

cardiac pomoshch_

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
2	Quantity of cases of death rate from stroke (the MKB-10 code - I 63) at home within 1 month after the statement	results of monitoring of the reporting and the information provided by the subject of control	25,0	0 to 4 cases	From 5 to 9 cases	more than 10 cases
				0%	50%	100%
3	Share of hospitalization of patients with complications of diseases of cardiovascular system (arterial hypertension, myocardial infarction, stroke)	results of monitoring of the reporting and the information provided by the subject of control	10,0	0	1-19,9% of cases	more than 20% of cases
				0%	50%	100%
4	Share of the dead from BSK, from total quantity of the dead, with the diagnosis of MKB-10 (I00-I 99)	results of monitoring of the reporting and the information provided by the subject of control	25,0	0-10%	10, - – 20% of cases	more than 20% of cases
				0%	50%	100%
5	Indicator of postoperative lethality in cases of planned hospitalization -	results of monitoring of the reporting and the information provided by the subject of control	25,0	0-4,9%	5-10% of cases	more than 10% of cases
				0%	50%	100%
6	Annual figure of repeated unplanned receipt (within a month concerning the same disease) -	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-5% of cases	5,1-10 of % of cases	More than 10% of cases
				0%	50%	100%
7	Annual figure of lethality in case of planned hospitalization	results results of monitoring of the reporting and the information provided by the subject of control	25,0	0 cases	more than 1 cases
				0%	100%
8	Quantity of cases of child mortality of 0-5 years	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
9	Quantity of cases of maternal death rate	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 7

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria

in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) giving hemodialysis help __

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
3	Annual figure of lethality in case of planned hospitalization	results of monitoring of the reporting and the information provided by the subject of control	25,0	0 cases	More than 1 cases
				0%	100,0
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 8

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria

in the sphere of quality of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) giving dental help _

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
3	Quantity of cases of child mortality of 0-5 years	results of monitoring of the reporting and the information provided by the subject of control	100,0	no	is
				0	1 and more
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 9

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria

in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) giving ftiziatrichesky help _

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
3	Annual figure of lethality in case of planned hospitalization	results of monitoring of the reporting and the information provided by the subject of control	25,0	0 cases	More than 1 cases
				0%	100,0
4	Indicator of postoperative lethality in cases of planned hospitalization -	results of monitoring of the data received from the automated information	25,0	0-4,9%	5-9,9% of cases	more than 10% of cases
				0%	50%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 10

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria

in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) giving oncological help _

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
3	Annual figure of lethality in case of planned hospitalization	results of monitoring of the reporting and the information provided by the subject of control	25,0	0 cases	More than 1 cases
				0%	100,0
4	Indicator of postoperative lethality in cases of planned hospitalization -	results of monitoring of the data received from the automated information	25,0	0-4,9%	5-9,9% of cases	more than 10% of cases
				0%	50%	100%
5	Annual figure of repeated unplanned receipt (within a month concerning the same disease) -	results of monitoring of the reporting and the information provided by the subject of control	10,0	0-5% of cases	5,1-10 of % of cases	More than 10% of cases
				0%	50%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 11

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) rendering medico-social

help in area mental zdorovya_

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control *	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
2	Annual figure of lethality in case of planned hospitalization of patients with mental and behavioural disturbances, including owing to the use F00-F99 surfactant (Specific weight (%) of the patients who died in hospital of total number who were disposed (written out died))	results of monitoring of the data received from the automated information	25,0	0-10% of cases	10,1-25 of % of cases	more than 25% of cases
				0%	50%	100%
3	Availability of cases of discrepancy of terms of stay of patients (3 koyko / day and less) (Specific weight (%) 3 koyko-days which were disposed in hospital with stay term and less from total number of the patients who were disposed (written-out) with mental and behavioural disturbances F00-F 99, including owing to the use surfactant	results of monitoring of the data received from the automated information	10,0	0-10% of cases	10,1-20 of % of cases	More than 20% of cases
				0%	50%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 12

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) providing laboratory services _

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 13

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) providing emergency medical service

medical care in the form of sanitary aviatsii_

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Quantity of cases of variations from arrival time in the corresponding category (for the organizations providing emergency medical service) for last year	results of monitoring of the reporting and the information provided by the subject of control	50,0	0-4 cases	5-9 cases	more than 10 cases
				0%	50%	100%
2	Quantity of cases of repeated departures in the same case within a day for last year	results of monitoring of the reporting and the information provided by the subject of control	50,0	0-4 cases	5-9 cases	more than 10 cases
				0%	50%	100%
3	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 14

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) performing activities

in the sphere of prevention of HIV infection _______

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 15

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria in the sphere of rendering medical services (help)

___________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) performing activities

in the sphere of service of ____________________________ blood

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
For checks on compliance to requirements
1	Availability of the certificate of the specialist for the admission to clinical practice	results of monitoring of the reporting and the information provided by the subject of control (e-license)	50	There is certificate	There is no certificate
				0%	100%
2	Fact of re-registration of the licensee, change of its name or legal address and (or) reorganization of legal person licensee	analysis results of the information provided by state bodies and the organizations	50	is	no
				0%	100%

 

Appendix 16

to Criteria for evaluation of risk degree in the sphere of rendering medical services (help)

The list of subjective criteria for determination of risk degree by subjective criteria in the sphere of rendering medical services (help)

__________________________________________________________________

according to Article 138

___________________________________________________________________

The entrepreneurial code of the Republic of Kazakhstan in the relation

_______________________ subjects (objects) rendering

pathoanatomical diagnostics ________________________________

name of uniform group of subjects (objects)

___________________________________________________________________

control

No. of payment order	Indicator of subjective criterion	Source of information on indicator of subjective criterion	Specific weight on the importance, point (in the amount shall not exceed 100 points), wi	Conditions/values, xi
				condition 1/value	condition 2/value	condition 3/value
1	2	3	4	5
For preventive control with visit
1	Non-execution of the recommendations issued following the results of preventive control without visit of subject (object) of control	results of preventive control without visit of subject (object) of control (the resulting documents issued following the results of preventive control without visit of subject (object) of control).	100,0	no	is
				0%	100%
For checks on compliance to requirements

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