News Digest 12.04.2024 — 15.04.2024
Regulators
A digital platform in the field of comprehensive rehabilitation of disabled people will be launched by November 2025
The Government of the Russian Federation has approved a strategic direction in the field of digital transformation of the social sphere until 2030. Among other things, it outlines the creation of a platform for the interaction of disabled people with medical and social examination specialists (MSE) and employees of enterprises where technical means of rehabilitation (TSR) are manufactured. The pilot project of the first stage of the system of comprehensive rehabilitation of a single centralized digital platform in the social sphere can start as early as November 2025.
One of the goals of the transformation is to achieve a high degree of “digital maturity” of the population in the field of comprehensive rehabilitation and habilitation of people with disabilities and disabled children by expanding the capabilities of existing and created information systems and platforms. To achieve this, it is proposed to introduce programs with artificial intelligence (AI), routing and an individual rehabilitation program with patient information in real time.
The document regulates the creation of a unified information space (mobile and web applications), where patients, MSE and rehabilitation specialists, as well as representatives of enterprises producing TSR will be able to communicate online.
Indicators of the digital transformation of the industry should include the number of users in the comprehensive rehabilitation information system, the number of consultations using AI, the achievement of a high degree of “digital maturity” in this area for all categories of participants in the process and the provision of expanded opportunities for the acquisition, maintenance and exchange of certified goods and services.
During the digital transformation, we must optimize public services for people with disabilities through reengineering and digitalization, increasing the targeting and efficiency of providing social support measures at both the federal, regional and municipal levels. At the same time, improving the quality of rehabilitation and habilitation services should be carried out regardless of the region.
Among the tasks is the introduction of proactive control through the creation of “reference processes” for the rehabilitation and habilitation of people with disabilities and disabled children. For this purpose, relevant government agencies will receive tools for analyzing big data and maintaining electronic document management, which “will reduce the level of bureaucratization of their activities and reduce costs through paperless technology.” Using remote monitoring, the Ministry of Labor of the Russian Federation will be able to control the execution and maintenance of electronic documents.
It is planned that by 2025 the share of complex rehabilitation services received by citizens in digital form will be 5%, and by 2030 it should increase to 40%.
The order states that the determination of requirements for a system of comprehensive rehabilitation of a single centralized digital platform and approval of the terms of reference with project documents must be carried out by May 2024. The Ministry of Labor, the Ministry of Digital Development and the Federal Bureau of ITU were appointed responsible. The contractor to create the system must be selected by September 2024. The contractor needs to design the database and implement the interface within a year - until September 2025.
By May next year, responsible government agencies need to decide on the regions that will take part in the pilot project to use the system. The start of the project is scheduled for November 2025. It is planned that the implementation of the experiment will take place in eight stages - new regions will be selected for each. In December 2030, based on the results of the project, the government, together with those responsible, will consider continuing work to update and improve the comprehensive rehabilitation system of a single centralized digital platform.
In 2022, a pilot project for the rehabilitation and habilitation of disabled children using electronic certificates was launched in the Sverdlovsk and Tyumen regions. In December 2023, the Ryazan region was also added to the list of pilot regions, and the experiment itself was extended from 2024 to 2026. In January 2024, the Ministry of Labor of the Russian Federation approved a list of medical indications and contraindications for receiving rehabilitation services for children aged 4 to 17 years. At the same time, the department also approved the requirements for organizations that provide rehabilitation and habilitation services to disabled children using electronic certificates.
Market news
Intellectual spending: what regions should focus on when purchasing “smart” medical products
Last year, 84 Russian entities purchased 106 AI-powered devices. At the same time, 14 regions purchased two or more such medical products at once. Since a significant part of the purchases occurred in the second half of the year, only 58 regions managed to begin operation, Oliya Artemova, deputy director of the Department of Digital Development and Information Technologies of the Ministry of Health, informed at the ITM-AI scientific and practical conference in February.
By the end of this year, three AI solutions should be implemented in practical healthcare in the regions. They will be purchased on co-financing terms, taking the federal share from funds received through the project “Creating a single digital circuit in healthcare based on the Uniform State Health Information System,” the total budget of which in 2019–2024 is equal to 113.8 billion rubles. Since this money is not colored, the subject himself decides how much of it to allocate specifically to the GM with AI.
In order to avoid the mistakes of last year, it is necessary to pay special attention to ensuring that all purchased services are registered by Roszdravnadzor, have the status of a medical product and are included in the Register of Domestic Software, Artemova emphasized. According to the recommendations of the Ministry of Health (letter No. 18-6/I/2-471 dated January 16, 2024), at the expense of the federal budget it is necessary to purchase a perpetual non-exclusive license, as well as implementation work with support for at least 12 months. The use of medical data provided for the operation of medical devices with AI is not permitted for any other purposes other than processing by a medical device, additional training, additional tuning or adjustment of its operation. Regions are recommended to provide for the generation of a report containing statistics on the use of MI with AI: processed studies or electronic medical records (EMR), technical errors, adverse events.
Six clinics will be built in two regions for 3.3 billion rubles
The authorities of the Nizhny Novgorod region and the Republic of Bashkortostan announced six tenders for the construction of four adult and two children's clinics. In the first region they plan to spend no more than 1.765 billion rubles on the construction of facilities for three facilities, in Bashkiria - 1.5 billion rubles for the same number of new buildings. The capacity of new medical organizations, which will be built before 2025, will not exceed 500 visits per shift.
Residents of Nizhny Novgorod will have new clinics for 500 visits per shift - at the Children's City Hospital No. 17 and City Clinic No. 30 (these competitions were announced again this year), as well as another one for 300 visits per shift - in the Gorodetsky district at the local central district hospital. The total area of each medical facility will be about 6 thousand square meters. m.
In Bashkortostan, two facilities with a capacity of 150 visits per shift will be built in the Bakalinskaya and Yanaul Central District Hospitals, and for 250 visits per shift - in the Askinskaya Central District Hospital.
In 2023, according to the Ministry of Health of the Nizhny Novgorod Region, almost 2 billion rubles were invested in the renovation of medical institutions, and another 250 million rubles were allocated for the purchase of new equipment. However, the region is faced with a lack of funding for the construction of a new cancer clinic - the last application from the regional government to the Russian Ministry of Health for a federal tranche of at least 9 billion rubles was submitted in February 2024. The results of consideration of this request were not reported.
The oncological infrastructure is also being updated in Bashkortostan. In 2023, the construction of a landmark facility for the region was completed - the Republican Center for Children's Oncology and Hematology with an estimated cost of 4 billion rubles. In the same year, as specified in the local government, the Center for Pediatric Endocrinology, the Center for Cystic Fibrosis, the Center for Orphan Diseases, the Center for Mental Health and the Ufa Hospice were opened. Polyclinics were commissioned in Baymak, the Ufa microdistrict Zaton and the village of Mesyagutovo, and a hospital with an ambulance station in the village of Bolsheustikinskoye.
Source: https://vademec.ru/news/2024/04/12/v-dvukh-regionakh-postroyat-shest-poliklinik-za-3-3-mlrd-rubley/
About one hundred units of medical products intended for rehabilitation were received by the Clinical Cardiology Dispensary of the Omsk Region
According to the Territorial Authority of Roszdravnadzor for the Omsk Region, in the region, within the framework of the implementation of the federal project “Optimal Medical Rehabilitation for Health Restoration”, the Public Health Institution “Clinical Cardiology Dispensary” received 94 units of medical products intended for carrying out rehabilitation measures for patients with dysfunction of the central nervous system .
Now patients at the dispensary are provided with medical care using bicycle ergometers, acoustic systems, including for the correction of psychosomatic conditions, anti-decubitus systems, simulators, and virtual rehabilitation systems.
Also, as part of the implementation of the project, the public health institution “Clinical Cardiology Dispensary” was equipped with functional beds, massage couches and resuscitation equipment.
The territorial body of Roszdravnadzor for the Omsk region continues to monitor the pace of implementation of federal projects in the region.
Source: https://t.me/roszdravnadzor_official/2424
Other
Moscow will pay companies 48 million rubles for analyzing medical images using AI
The Moscow Department of Health (DZM) has approved a list of legal entities that will be paid grants for participating in an experiment on the use of innovative technologies in the field of computer vision for the analysis of medical images. In total, the list includes 18 companies that carried out 51 studies. For this they will be given a total of 48 million rubles.
The largest grant (6.8 million rubles) was allocated by the Department of Healthcare of the Russian Federation to the company AIRA Labs for a machine study of computed tomography of the chest organs for the presence of 11 pathologies. In total, AIRA Labs will receive five grants totaling 14.5 million rubles. According to SPARK-Interfax, this company was registered in May 2020 in Moscow and is owned by Mikhail Belyaev. AIRA Labs LLC closed 2022 with a net profit of 82 million rubles.
Mammography, fluorography, radiography and tomography of the chest and brain conducted by Medical Screening Systems LLC will be paid for. The total amount of financing will be 10 million rubles. SPARK-Interfax states that the company was registered in 2018 in Kaluga. Now it is owned by Igor Chernin through the parent company MSS. In 2022, Medical Screening Systems earned 86 million rubles.
The Department of Health appointed the highest price for the analysis of magnetic resonance imaging of the brain - from 281 to 1,130 rubles per study. For the development of computer vision for analyzing this type of visualization, two companies - Imvision and Intel Diagnostics - will be paid 3.5 million and 4.6 million rubles, respectively. Both companies were registered in St. Petersburg: Imvision LLC - in 2021, Intel Diagnostics - in 2020.
The use of artificial intelligence (AI) technologies in medicine is being actively promoted throughout the country. Thus, in 2023, using funds from the federal project “Creation of a unified digital circuit based on the Unified State Health Information System,” all regions of Russia (except Moscow and new territories) purchased 106 products with AI for 450 million rubles - most of the equipment (70%) is intended for image analysis.
In March 2024, Roszdravnadzor also expanded the list of purposes for which departmental subsidies can be spent. Among the new areas was methodological assistance with the implementation of medical products based on AI technologies in the regions.
News
