News Digest 18.03.2024 — 20.03.2024
Regulators
The Ministry of Health will speed up the process of obtaining a medical license
The Ministry of Health of the Russian Federation has prepared amendments to the Regulations on licensing of medical activities and intends to reduce the time limit for making a decision on issuing a corresponding license from 15 to 10 working days; the time limit for making a decision on making changes to the register of licenses is being reduced from 10 to 5 days. The regulations will be brought into line with the updated description of the state service “licensing of medical activities” by Roszdravnadzor on behalf of the Government of the Russian Federation.
If the draft amendments are adopted in published form, presumably in the third quarter of 2024, the time for checking an applicant’s compliance with licensing requirements and making a decision on issuing/refusing to issue a medical license will be reduced from 15 to 10 days. Under the conditions of licensing clinics in closed administrative territories (ZATO), the period will change from 20 to 15 days.
In addition, the time for making a decision on making/refusing to make changes to the register of licenses will be reduced to 5 working days (from 10), but only if the applicant indicates one work address and no more than ten types of outpatient services. In all other cases, the time frame will be 10 days under normal conditions and 15 days when working in a closed administrative unit.
According to the developers of the amendments, the changes will potentially affect 98.5 thousand legal entities with a medical license and “will have a positive effect on the situation in the field of licensing of medical activities by optimizing the administrative procedure in terms of the timing of receiving public services.”
The last time the government made massive amendments to Resolution No. 852 of June 1, 2021, approving the Regulations on licensing of medical activities at the beginning of 2022. Among the main innovations is the replacement of licensing control with an assessment of the compliance of the applicant or license holder with licensing requirements, as well as a complete transition to submitting an electronic application for a permit through the federal government services portal.
The amendments proposed by the Ministry of Health of the Russian Federation and criticized by the professional community to include in the licensing requirements that the head of a clinic have a higher medical education were not taken into account in the new resolution.
In 2022, Roszdravnadzor, responsible for licensing clinics, prepared “Guidelines for compliance with mandatory requirements when carrying out medical activities.” The draft document stated that, for example, a license would not be issued (or withdrawn) if the clinic did not have premises (owned or otherwise owned) in which to operate or that would comply with sanitary rules.
A gross violation, the regulator recalled, is the absence of information about medical organizations and health workers in the federal registers of the Unified State Health Information System or the posting of such information late - not so long ago the government approved an additional system of sanctions for regional authorities for this violation.
Market news
A line for the production of medical glass will be opened in the KBR for 280 million rubles
The Chegem Glass Factory in the Kabardino-Balkarian Republic (KBR) intends to organize a second line for the production of medical glass by September 2024. The total volume of products produced on the two lines will increase to 300 million bottles per year. Investments in the project were estimated at 280 million rubles.
Equipment for the new line will be supplied by a manufacturer from China. At the beginning of December 2023, the first production site for the creation of medical glass was opened at the plant. The plant produces bottles of various sizes - from a few milliliters to 20 liters. At the moment, the company employs more than 270 people and produces more than 170 million finished products per year. With the launch of the new line, another 120 jobs will appear, and the volume of production will double.
The Minister of Industry, Energy and Trade of the Kabardino-Balkaria, Shamil Akhubekov, emphasized that the government is interested in supporting the Chegem Glass Factory. For this purpose, a working group has been formed to implement the project “Development of the glass industry in the KBR” on the basis of the plant. Prime Minister of the Government of Kabardino-Balkaria Aliy Musukov was appointed Chairman.
Akhubekov noted that the company has sufficient reserves of raw materials - the main volume is supplied from other Russian regions. The plant already employs key highly specialized specialists. The main staff for the second line will begin to be recruited after the start of production. According to the head of the Ministry of Industry, medical glass in Russia is a popular import-substituting product, so no problems with sales are expected.
According to SPARK-Interfax, Chegem Glass Factory LLC was registered in the village of Chegem, Kabardino-Balkarian Republic in 2021. The co-owners are Sergey Malaev (62.5%), Alexander Barsukov (25%) and Yulia Ponomarenko (12.5%). The company's revenue in 2022 amounted to 487.6 million rubles, net profit - 2.9 million rubles.
In December 2021, the Medglas company announced its intention to create an enterprise for the production of hydrolytic-grade medical glass by 2024 in the Blagoveshchensk region of the Republic of Bashkortostan. At that time, the volume of investment in the project was estimated at 4.4 billion rubles. An agreement of intent to implement the investment project was signed by the Prime Minister of the Republic of Bashkortostan Andrei Nazarov and the General Director of Medglas LLC Alexander Kolpakov. In February 2022, the Ministry of Economic Development of Bashkiria clarified that the investment project will be implemented until 2030 inclusive. The new production is planned to create 318 jobs.
Skolkovo has created a rapid test for early diagnosis of HIV
Specialists from the Rapid Bio company, a Skolkovo resident (VEB.RF group), have developed and registered an express test for the early diagnosis of HIV. As the press service of the Skolkovo Foundation reported, testing takes 8 minutes, and the virus is diagnosed within 10-12 days after it enters the body.
The new development of the fourth generation "Rapid-HIV-ag/at-iha" provides the earliest and most accurate detection of HIV types 1 and 2. Unlike previous generations of tests, it simultaneously detects the p24 antigen and antibodies to the virus, which makes it possible to determine the presence of HIV at very early stages.
The inclusion of the rapid test in the State Register of Medical Devices allows the company to begin its production and sales. As Anzhey Zhimbiev, general director of the Rapid Bio company, emphasized, the test is completely Russian, developed and will begin to be produced at the sites of the Skolkovo innovation center.
Source: https://digital.gov.ru/ru/events/49685/
A medical analogue of ChatGPT has been created in China
The Hong Kong Center for Artificial Intelligence and Robotics at the Chinese Academy of Sciences has developed a chatbot called CARES Copilot 1.0 based on LLM (Large Multimodal Models) to help doctors make diagnoses and prescribe treatments. According to experts, the neural network answers doctors’ questions with an accuracy of up to 95%.
The technology can process text, audio files, video, MRI, CT, ultrasound and other images. In addition, the chatbot extracts information from more than 3 thousand pages of surgical materials. CARES also integrates surgical phase identification, instrument and anatomical segmentation, instrument detection and counting, and high-resolution MRI image generation. The development is now being used in seven hospitals in Beijing.
Source: https://www.mobihealthnews.com/news/asia/china-unveils-chatgpt-medical-chatbot-service
Other
The MHIF reported on the launch of a mammography system with the participation of AI
Since 2024, for the first time, the State Guarantee Program (SGP) has provided for mammography using artificial intelligence (AI) as a second opinion. In January, 65 thousand such studies were carried out in clinics, the head of the Compulsory Medical Insurance Fund (MHIF) Ilya Balanin reported at a meeting with Prime Minister Mikhail Mishustin. According to Balanin, such a system “should reduce the burden on doctors and improve the quality of research.”
The SGBP for 2024-2026 states that the tariff for payment for mammography using AI “should not exceed the tariff for payment for mammography of both mammary glands in two projections with double reading of radiographs” - 1843.6 rubles. Such a study is carried out as part of a clinical examination once every two years.
The compulsory medical insurance tariff for the analysis of radiation studies using neural networks was first established in Moscow in 2023, MV reported - then one such study was estimated at 239 rubles.
The Ministry of Health announced in July that Moscow’s experience is planned to be scaled up to other regions. One of the two doctors who typically analyze mammography images to avoid errors is being proposed to be replaced by artificial intelligence.
In Khanty-Mansiysk, a neurosurgical operation was performed for the first time using a domestic device
Home News Health and medicine In Khanty-Mansiysk, a neurosurgical operation was performed for the first time with a domestic device. In Khanty-Mansiysk, a neurosurgical operation was performed for the first time with a domestic device. 03/12/2024News459 A woman was admitted to the District Clinical Hospital of Khanty-Mansiysk, whose brain tumor had taken away the ability to move and speak. The operation, carried out for the first time under the control of Russian equipment, returned the lost abilities to the patient, reports the TG of the Ministry of Health of the Russian Federation.
This is not the first time that neurosurgeons from the OKB Khanty-Mansi Autonomous District have performed operations to remove tumors that affect functionally significant areas of the brain. However, for the first time, they were “assisted” by a device that is used to measure and monitor the integrity of the nervous system during the doctor’s manipulations.
Of course, surgeons are thoroughly familiar with neuroanatomy, but the use of such equipment allows complex operations to be performed with minimal risk. Electrodes are attached to the patient's brain, which, using a special impulse, help the specialist distinguish areas of affected tissue for removal from those whose removal will cause damage to the nervous system.
The head of the Ministry of Health was presented with Tula AI to help the deaf
At a meeting with the Minister of Health of the Russian Federation Mikhail Murashko, Elena Maksimova, co-founder and CEO of the ANO Hear the Silence, reported on the progress of the development of the Tula development - artificial intelligence "Doctor Gesture", the prospects for its replication and the success of its implementation in the region.
Mikhail Murashko noted the high importance of the project for the healthcare system and highly appreciated the current indicators achieved.
From the Russian Ministry of Health, Mikhail Murashko promised to provide full support to the project, assistance in disseminating the practice across the regions of Russia, and support from the medical community.
Let us remind you that “Doctor Gesture” is an artificial intelligence that collects data from the patient about symptoms, complaints, medical history and life, and transmits the data to the doctor before the appointment. It also prepares for a number of procedures (tests, certificates, examinations, etc.). After the appointment, he explains to the patient his diagnosis according to the ICD and the doctor’s recommendations. Originally developed for the deaf. Therefore, the entire text is clear and simple, accompanied by pop-up explanations in Russian sign language.
It is now used for both deaf and hearing patients.
Based on the implementation results, it reduces appointment time, reduces the doctor’s workload, increases patient awareness and the frequency of compliance with doctor’s recommendations.
By the way, at SPIEF 2023 the Tula project “Doctor Gesture” was recognized as the best technology for health. A year ago, the general director of the ANO “Hear the Silence” was included in the Forbes list.
Source: https://tula.bezformata.com/listnews/tulskiy-ii-dlya-pomoshi-gluhim/128850591/
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