Фонду ОМС не удалось оштрафовать областную больницу за использование телемедицины

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{"ID":"1272727","~ID":"1272727","TAGS":"телемедицина, БАРС, онкология, фонд ОМС, Калининградская областная больница","~TAGS":"телемедицина, БАРС, онкология, фонд ОМС, Калининградская областная больница","NAME":"Фонду ОМС не удалось оштрафовать областную больницу за использование телемедицины","~NAME":"Фонду ОМС не удалось оштрафовать областную больницу за использование телемедицины","IBLOCK_ID":"54","~IBLOCK_ID":"54","IBLOCK_SECTION_ID":"14064","~IBLOCK_SECTION_ID":"14064","DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Территориальному фонду обязательного медицинского страхования не удалось оштрафовать Калининградскую областную клиническую больницу на 260 тыс. руб. за проведение онкологических консилиумов в дистанционном формате. ФОМС настаивал на том, что больница должна вернуть оплату за лечение 19 пациентов в период распространения COVID-19 из-за дефектов в оформлении документов. Однако арбитражный суд региона счел, что проведение консилиума в режиме он-лайн не является нарушением и отменил соответствующие акты Фонда.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Как следует из текста решения Калининградского арбитража, при проверке документов на лечение 19 граждан, больница представила экспертам протоколы консилиума врачей-онкологов без подписей его участников. При этом с 2020 года калининградские медики имеют возможность проводить онкологические консилиумы дистанционно, с помощью телемедицинских технологий, не встречаясь лично. Это экономит время, позволяет приглашать специалистов из разных больниц и снижает риски распространения новой коронавирусной инфекции. Для совместной оценки тактики выбранного лечения доктора используют специальный модуль в информационной системе БАРС.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Технически каждый участник дистанционного онкоконсилиума – должен поставить в его протоколе усиленную электронную подпись. Однако, как стало известно суду,\u0026nbsp; «на тот временной промежуток отсутствовал функционал подписания протокола онкоконсилиума усиленной квалифицированной электронной подписью его членов по причине недоработки информационной системы её разработчиками. Данное обстоятельство подтверждается уполномоченным должностным лицом ГКУЗ «Медицинский информационно-аналитический центр Калининградской области» (МИАЦ) в его ответе на соответствующий запрос главного врача Калининградской ОКБ. В этой связи объективно отсутствовала возможность распечатать и подписать протокол врачами из разных медицинских организаций».\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Кроме того,\u0026nbsp;экспертиза ФОМС не нашла другие дефекты в оформлении документов или данные о том, что пациенты получили не надлежащее лечение. «Правовые основания для требования Фонда о возврате в доход бюджета территориального фонда ОМС 260 181,21 рубля по коду нарушения\/дефекта 4.2, по мнению суда, отсутствуют», – говорится в \u003Ca href=\u0022https:\/\/ras.arbitr.ru\/Document\/Pdf\/22983744-4e71-419b-83f1-4ae90662cd0c\/d546b3e8-2db1-4edf-8dd5-7a22efc106e9\/%D0%9021-9499-2021__20211228.pdf?isAddStamp=True\u0022\u003Eрешении\u003C\/a\u003E. В течение месяца оно может быть обжаловано.\u0026nbsp;\r\n\u003C\/p\u003E\r\n \u003Cbr\u003E\r\n \u003Cbr\u003E\r\n\u003Cp\u003E\r\n\u003C\/p\u003E","~DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Территориальному фонду обязательного медицинского страхования не удалось оштрафовать Калининградскую областную клиническую больницу на 260 тыс. руб. за проведение онкологических консилиумов в дистанционном формате. ФОМС настаивал на том, что больница должна вернуть оплату за лечение 19 пациентов в период распространения COVID-19 из-за дефектов в оформлении документов. Однако арбитражный суд региона счел, что проведение консилиума в режиме он-лайн не является нарушением и отменил соответствующие акты Фонда.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Как следует из текста решения Калининградского арбитража, при проверке документов на лечение 19 граждан, больница представила экспертам протоколы консилиума врачей-онкологов без подписей его участников. При этом с 2020 года калининградские медики имеют возможность проводить онкологические консилиумы дистанционно, с помощью телемедицинских технологий, не встречаясь лично. Это экономит время, позволяет приглашать специалистов из разных больниц и снижает риски распространения новой коронавирусной инфекции. Для совместной оценки тактики выбранного лечения доктора используют специальный модуль в информационной системе БАРС.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Технически каждый участник дистанционного онкоконсилиума – должен поставить в его протоколе усиленную электронную подпись. Однако, как стало известно суду,\u0026nbsp; «на тот временной промежуток отсутствовал функционал подписания протокола онкоконсилиума усиленной квалифицированной электронной подписью его членов по причине недоработки информационной системы её разработчиками. Данное обстоятельство подтверждается уполномоченным должностным лицом ГКУЗ «Медицинский информационно-аналитический центр Калининградской области» (МИАЦ) в его ответе на соответствующий запрос главного врача Калининградской ОКБ. В этой связи объективно отсутствовала возможность распечатать и подписать протокол врачами из разных медицинских организаций».\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Кроме того,\u0026nbsp;экспертиза ФОМС не нашла другие дефекты в оформлении документов или данные о том, что пациенты получили не надлежащее лечение. «Правовые основания для требования Фонда о возврате в доход бюджета территориального фонда ОМС 260 181,21 рубля по коду нарушения\/дефекта 4.2, по мнению суда, отсутствуют», – говорится в \u003Ca href=\u0022https:\/\/ras.arbitr.ru\/Document\/Pdf\/22983744-4e71-419b-83f1-4ae90662cd0c\/d546b3e8-2db1-4edf-8dd5-7a22efc106e9\/%D0%9021-9499-2021__20211228.pdf?isAddStamp=True\u0022\u003Eрешении\u003C\/a\u003E. В течение месяца оно может быть обжаловано.\u0026nbsp;\r\n\u003C\/p\u003E\r\n \u003Cbr\u003E\r\n \u003Cbr\u003E\r\n\u003Cp\u003E\r\n\u003C\/p\u003E","DETAIL_TEXT_TYPE":"html","~DETAIL_TEXT_TYPE":"html","PREVIEW_TEXT":"Суд решил, что онкологические консилиумы в режиме он-лайн правомерны. Учреждение сохранило 260 тыс. руб.","~PREVIEW_TEXT":"Суд решил, что онкологические консилиумы в режиме он-лайн правомерны. 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