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RESOLUTION OF THE CABINET OF MINISTERS OF UKRAINE

of March 3, 2021 No. 181

Some questions of implementation and realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care in separate research establishments of National academy of medical sciences
(Extraction)

(as amended of the Resolution of the Cabinet of Ministers of Ukraine of 07.07.2021 No. 698)

The Cabinet of Ministers of Ukraine decides:

1. Agree with the offer of the Ministry of Finance and National academy of medical sciences concerning implementation in 2021 of gradual implementation and realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care in separate research establishments of National academy of medical sciences.

2. Determine that in 2021 implementation and the realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care is enabled in such public institutions (further - public institutions):

National institute of surgery and transplantology of A. A. Shalimov of National academy of medical sciences (Kiev);

Institute of neurosurgery of name of the academician A.P.Romodanov of National academy of medical sciences (Kiev);

National institute of cardiovascular surgery of N. N. Amosov of National academy of medical sciences (Kiev);

National scientific center "Institute of Cardiology of Name of the Academician N.D.Strazhesko" of National academy of medical sciences" (Kiev);

Institute of otolaryngology of the prof. A. S. Kolomiychenko of National academy of medical sciences (Kiev);

Scientific and practical center of endovascular neurox-ray surgery of National academy of medical sciences (Kiev);

National institute of phthisiology and pulmonology of F.G.Yanovsky of National academy of medical sciences (Kiev);

Institute of traumatology and orthopedics of National academy of medical sciences (Kiev).

3. Determine that delivery of health care by public institutions in case of implementation and realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care is performed at the expense of means:

the government budget - based on the agreements on medical attendance of the population signed by academy of medical sciences with each public institution according to the list of services in provision of tertiary (highly specialized) medical care by public institutions which cannot be provided or are provided in limited quantity in other healthcare institutions;

local budgets - based on decisions of the relevant local councils and contracts on medical attendance of the population with public institutions for provision of tertiary (highly specialized) medical care by public institutions;

legal entities and physical persons - according to the list of paid services which are provided in the state and municipal institutions of health care and the highest medical educational institutions, to No. 1138 approved by the resolution of the Cabinet of Ministers of Ukraine of September 17, 1996 (ZP of Ukraine, 1996, No. 18, to Art. 501; The Official Bulletin of Ukraine, 2016, No. 77, the Art. 2567), on the rates determined and approved by public institutions. Rates for the paid services provided on contracts with legal entities (including with insurance companies) to foreigners and stateless persons which temporarily are in the territory of Ukraine affirm public institutions taking into account the norm of profitability which is determined independently by public institutions.

4. Approve enclosed:

Procedure for use of the means provided in the government budget for implementation and realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care in separate research establishments of National academy of medical sciences;

the list of services in provision of tertiary (highly specialized) medical care by separate research establishments of National academy of medical sciences in which the new mechanism of financial provision of provision of tertiary (highly specialized) medical care and rates for such services takes root and implemented.

5. Make changes which are applied to resolutions of the Cabinet of Ministers of Ukraine.

6. To recommend to national academy of medical sciences:

promulgate information on implementation and realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care on the official website;

give annually till April 1 of the year following for reporting, to the Cabinet of Ministers of Ukraine, the Ministry of Health and the Ministry of Finance the report on results of implementation and realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care;

give quarterly to the 20th following the accounting period, to the Ministry of Finance, the Ministry of Health and National service of health information on the course of implementation and realization of the new mechanism of financial provision of provision of tertiary (highly specialized) medical care on the form determined by National service of health;

according to the Procedure for functioning of electronic health care system approved by the resolution of the Cabinet of Ministers of Ukraine of April 25, 2018 No. 411 "Some questions of electronic health care system" (Official Bulletin of Ukraine, 2018, No. 46, Art. 1604), to provide registration of public institutions in which the new mechanism of financial provision of provision of tertiary (highly specialized) medical care in electronic health care system takes root and implemented.

7. To the Ministry of Health together with National academy of medical sciences to approve in the procedure established by the legislation:

Procedure for the direction of patients according to medical indications in public institutions in which the new mechanism of financial provision of provision of tertiary (highly specialized) medical care, and procedure for provision of tertiary (highly specialized) medical care in such organizations takes root and implemented;

approximate agreements on medical attendance of the population by public institutions.

Prime Minister of Ukraine

D. Shmygal

Approved by the Resolution of the Cabinet of Ministers of Ukraine of March 3, 2021 No. 181

Changes which are made to resolutions of the Cabinet of Ministers of Ukraine

1. Item 36 of the Section I of the list of paid services which are provided in the state and municipal institutions of the health care and the highest medical educational institutions approved by the resolution of the Cabinet of Ministers of Ukraine of September 17, 1996 No. 1138 (ZP of Ukraine, 1996, No. 18, to Art. 501; Official Bulletin of Ukraine, 2016, No. 77, Art. 2567; 2020, No. 10, to the Art. 382) to state in the following edition:

"36. Medical services which are provided in separate research establishments of National academy of medical sciences in which the new mechanism of financial provision of provision of tertiary (highly specialized) medical care, according to the address of citizens without the corresponding direction or according to self-addresses takes root and implemented (except medical emergencies).".

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