The Ministry of Health has prepared a draft resolution regulating the transition from MSECs to expert teams for functional assessment
Kyiv • UNN
The Ministry of Health has prepared a draft resolution to replace MSECs with expert teams for functional assessment starting in 2025. The new system provides for electronic referrals and assessments in cluster healthcare facilities.
The Ministry of Health has prepared a draft resolution, which is yet to be approved by the Cabinet of Ministers, regulating the liquidation of medical and social examinations and the transfer of their powers to expert teams for functional assessment, UNN reports.
Details
According to the decree, from January 1, 2025, the expert examination, which is carried out to establish disability, will be conducted by expert teams to assess the daily functioning of a person. Teams may include doctors or rehabilitation specialists who are authorized to conduct assessments of daily functioning.
Based on the results of the examination, the teams will provide extracts of their findings. These reports will be used, among other things, to make decisions on the terms and conditions of compensation.
Assessment of a person's daily functioning is organized in cluster and supercluster health care facilities.
It is noted that the assessment of the daily functioning of a person is carried out using an electronic system to assess the daily functioning of a person.
The draft resolution also stipulates that the powers, rights and obligations of the MSEC to conduct medical and social expertise, as well as the powers, rights and obligations of the Central Medical and Social Expert Commission of the Ministry of Health, will be terminated on December 31, 2024.
In addition, if the government adopts the resolution by December 25, the MSECs will not start reviewing referrals from the MCC for medical and social examination until December 31. These referrals are being prepared for transfer to the relevant healthcare facility.
The Ministry of Health has also published the procedure for assessing a person's daily functioning. In particular, it is envisaged that these commissions include doctors who:
- carry out medical practice or provide rehabilitation assistance in the field of health care;
- meet other requirements established by law.
A doctor who has referred a person for evaluation may not be part of the expert team that evaluates that person, but they may be present at the patient's request.
People will be evaluated based on an electronic referral that has been generated:
- by the attending physician after carrying out the necessary diagnostic, therapeutic and rehabilitation measures;
- Chairman of the Military Medical Commission.
"An electronic referral is formed and sent to the healthcare facility where the assessment is carried out, taking into account its workload, as well as the wishes of the person to whom the referral is formed regarding territorial accessibility and geographical location in electronic form using the functionality of the electronic system," the document says.
The electronic referral must contain the following information: :
- information about the person referred for assessment (surname, name, patronymic; gender; identification code; date of birth; address of residence; information on the presence or absence of disability; telephone number);
- medical history;
- the state of the person when referring for evaluation;
- diagnosis when referred for evaluation; the basis for referral for evaluation;
- information about the doctor who sent it.
Copies of the documents must be attached to the electronic submission:
- passport and identification code;
- a military ID card or a temporary certificate of a person liable for military service, or a military registration card;
- medical documents related to the disease or state of health, according to which the person is sent for evaluation.
It is assumed that consideration of the assessment case is carried out in the order of priority on the basis of an electronic queue, which is formed automatically by an electronic system.
"Until the day of the hearing, members of the expert team do not have access to the case in the electronic system. The person referred for evaluation does not have access to the personal composition of the expert team that will carry out the evaluation. The case consideration should be carried out no later than 30 calendar days from the date of acceptance of the electronic referral for consideration by the healthcare facility," the document says.
During the review, members of the expert team examine all submitted documents, as well as relevant medical records confirming the state of human health.
Decisions on the assessment of a person's functioning are made collectively by a majority vote of the expert team members. In the event of a tie, the vote of the presiding officer in the case is decisive.
Based on the results of the assessment, the expert team can make a decision in which it will be established:
- degree of restriction of a person's vital activity;
- determining the need to extend temporary disability;
- disability, fixing the causes and time of its occurrence in accordance with the documents confirming this;
- degree of professional disability (as a percentage);
- the need for constant care.
Recall
The Cabinet of Ministers submitted to the Verkhovna Rada the announced draft law on reforming (liquidating) the MSEC.
