of May 25, 2021 No. PP-5124
About additional measures for complex development of health sector
For the purpose of enhancement of public administration in health care system, transformations of primary link into system of early identification and treatment of diseases, accelerations of works on digitalization, determinations of the near-term and long-term outlook of development of the sphere, increase in amount and cardinal improvement of medical services, supports of competitive and private sector, increase in knowledge of health workers, development of education and science:
1. Approve offers of the Cabinet of Ministers and the Agency of development of public service on determination of the main activities of management of the Ministry of Health and implementation of the following new management system:
a) Minister of Health A. M. Hadzhibayev:
performs the common directorship of organization activity of system of the ministry and subordinated structures, provides the effective organization of their work, bears the personal responsibility for full implementation of the assigned tasks and functions, makes decisions on the questions connected with these organizations;
will organize activities of organizations of the emergency medical care, republican medical (except for the republican specialized scientific and practical medical centers) and medical educational institutions, performs assessment of activities of management, appoints to position and dismisses, performs powers on tendering process on purchase of the equipment for them, drugs and products of medical appointment, and also realizes all measures directed to the prevention of corruption in system;
b) First Deputy Minister of Health A. Sh. Inoyatov:
bears the personal responsibility for rendering and quality of medical services in Items of the family doctor, family polyclinics, multi-profile central polyclinics and hospitals of areas (cities) (further - primary medical and sanitary organizations), their equipment, and also increase in knowledge and skills of health workers;
approves regular standard rates in primary medical and sanitary organizations, qualification requirements to doctors and average health workers, standards of equipment and protocols of treatment, signs contracts, performs assessment of activities of their heads, proposes candidates, makes offers, obligatory to consideration, to destination to position and to dismissal, performs powers on tendering process on equipment procurement, drugs and products of medical appointment for these organizations, and also makes decisions concerning activities of the specified organizations;
c) deputy minister of health care A. A. Azizov:
bears the personal responsibility for digitalization, financing, implementation and development of public-private partnership in the sphere of medicine and makes decisions on the matters;
holds tenders for realization of the assigned tasks, signs contracts, proposes to heads of the public medical institutions candidates concerning digitalization, financing, public-private partnership, makes offers, obligatory to consideration, to destination to position and to dismissal, and also independently makes decisions concerning work with international financial institutions;
d) deputy minister of health care U. Yu. Sobirov:
bears the personal responsibility for reforming of the republican specialized scientific and practical medical centers (further - the republican specialized centers) and regional multi-profile hospitals, ensuring their interrelation with primary medical and sanitary organizations and adjustment of system of work on places;
performs powers on introduction to obligatory consideration of offers on promotion of candidates, position assignment and dismissal of management of the republican specialized centers and their branches, project development on their equipment, tendering process and the conclusion of agreements, distribution of budgetary funds and warrants for free treatment in these centers, and also to approval of protocols of treatment;
e) deputy minister of health care E. I. Basitkhanova:
bears the personal responsibility for separation of mothers and children on risk groups, the organization of address work with them, forming of healthy lifestyle among the population;
performs power on attraction of grants of the international organizations for motherhood and the childhood, coordination of activities of executive bodies on places, waved, state bodies in the sphere of youth, sport and education on healthy lifestyle.
To the Ministry of Health (A. Hadzhibayev) in a month proceeding from the main directions and the implemented new management system specified in this Item to approve:
distribution of specific objectives and functions of deputy ministers of health care;
together with the Chairman of the board of Ministers of the Republic of Karakalpakstan, hokimama of areas and the city of Tashkent distribution of specific objectives and functions of territorial authorities of health care;
form in central office of the ministry structural division for monitoring of the post-investment period within the operating number of staff.
2. Since June 15, 2021 to increase on average by 3 times the size of the funds allocated per capita, assigned to primary medical and sanitary organizations for receipt of drugs and products of medical appointment.
To the Ministry of Finance (T. Ishmetov) to allocate for these purposes funds in the amount of 40 billion sum due to optimization of investment projects in 2021 and, since 2022, to provide necessary funds for the expenses specified in this Item in parameters of the Government budget.
To the chairman of the board of Ministers of the Republic of Karakalpakstan, hokima of areas and the city of Tashkent together with the Ministry of Economic Development and reducings poverty (I. Norkulov, A. Boboyev), the Ministry of Health (A. Hadzhibayev) in week time to determine the means saved due to optimization of investment projects in the sphere of medicine by areas.
3. To the Ministry of Health (A. Hadzhibayev, A. Inoyatov):
a) together with Academy of public administration (A. Bekmurodov) to organize two-week training courses on management in the sphere of medicine on the basis of the best foreign practices and to provide until the end of the year training of chiefs of regional, district (city) medical managements.
At the same time the expenses connected with the organization of training courses are performed by fund of material stimulation and development of the medical organizations;
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