Below is an interdepartmental document (working version of 4 pages), which can be used as a basis for meetings with deputy ministers.
Style is managerial, without pathos.
INTER-AGENCY MODEL
Federal System of Comprehensive Rehabilitation (FSKR)
Pilot: City of Moscow
1. Reason and relevance
In the Russian Federation there is no single interdepartmental model of comprehensive rehabilitation of citizens.
Currently:
- Medical rehabilitation is carried out within the framework of clinical protocols;
- social support and support are under the authority of other bodies;
- Occupational integration and employment are separate.
- There is no digital patient route.
The lack of an end-to-end model leads to:
- Re-hospitalization;
- social maladjustment;
- reduction of labor potential;
- increased budget burden;
- Loss of process control.
In the face of current challenges, it is necessary to form a managed interdepartmental system of returning citizens to a full life.
2. Proposed action
Creation of a pilot interagency model
Federal System of Comprehensive Rehabilitation (FSKR)
based in Moscow.
The model includes:
- Medical Unit
- The psychological block
- Social Adaptation
- Professional integration
- The Digital Single Route
- Analytical monitoring platform
The goal of the pilot is to work out a controlled model suitable for scaling to the subjects of the Russian Federation.
3. Architecture of interagency interaction
3.1. Ministry of Health of the Russian Federation
Responsibility:
- Clinical standards;
- Routing of the patient;
- methods for assessing the functional state;
- telerehabilitation;
- Reduction of re-hospitalization.
Key indicator:
dynamics of recovery and reduction of complications.
3.2. Ministry of Labour and Social Protection of the Russian Federation
Responsibility:
- social support;
- support for families;
- professional retraining;
- support of employment;
- Adaptation of jobs.
Key indicator:
Level of professional integration.
3.3. Ministry of Digital Development of the Russian Federation
Responsibility:
- architecture of the digital platform;
- Integration of inter-agency data;
- protection of personal data;
- analytics and forecasting;
- monitoring of efficiency.
Key indicator: transparency and manageability of the route.
4. Digital circuit (pilot)
Creation of a single digital rehabilitation route, including:
- initial diagnosis;
- individual plan;
- control points;
- inter-agency data transmission;
- analytical forecasting module;
- Independent monitoring system.
Principles:
- protection of personal data;
- access differentiation;
- journaling of changes;
- Inter-agency transparency.
5. Stages of the pilot (Moscow)
Phase I (0–6 months):
- formation of an interdepartmental working group;
- development of pilot standard;
- Design of digital architecture.
Phase II (6–18 months):
- Launch of the pilot;
- introduction of a digital route;
- Testing analytics.
Stage III (18–24 months):
- Evaluation of results;
- Preparation of proposals for scaling.
6. Expected results of the pilot
- formation of a managed interdepartmental model;
- reduction of repeated hospitalizations;
- increase the level of social adaptation;
- Increase in employment;
- Creating a Digital Contour of Transparency
Proposed
- Support the establishment of an inter-agency working group.
- Identify relevant deputy ministers for coordination.
- To approve the launch of a pilot project in Moscow.
- To prepare proposals for normative registration.
Good move.
If you go first through the Ministry of Economic Development and the Ministry of Industry and Trade, we transfer the topic from the “social program” to the economy and industry.
This greatly increases the weight. Let's figure out the strategy.
Why the Ministry of Economic Development First
Ministry of Economic Development of the Russian Federation
Their interest:
- productivity of labour
- Return of labor resource
- Reduction of structural unemployment
- economic effect
- Long-Term Budget Models
You can't talk to them about medicine.
You have to say this:
The FSCR is a mechanism for returning labor potential and reducing GDP losses.
Accent:
- How many people can be brought back into the economy?
- What effect on the labor market
- How it affects working age demographics
- Payback model
Why connect Minpromtorg
Ministry of Industry and Trade of the Russian Federation
Their interest:
- production of rehabilitation equipment
- Prosthetics
- Robotic therapy
- telemedicine solutions
- import substitution
- Industrial Cooperation
The accent is different:
FSCR is a driver for the development of the medical technology and prosthetics industry.
This is industrial policy.
Reconfiguring the document for the Ministry of Economy and Ministry of Industry and Trade
We need to make a version with an economic bias.
Add Block: Economic Effect
- return of X thousand people to work
- Reduction of social payments
- Reduction of medical costs
- Growth of tax base
- Creation of rehabilitation equipment industry
Add Block: Industrial Outline
- Localization of prosthetic production
- Development of robotic complexes
- Creation of Engineering Centers
- Cooperation with industrial clusters
Strategic consistency
1 - Ministry of Economy - as a framework for "economy and GDP"
2 - Ministry of Industry and Trade - as a framework for "industry and technology"
3 - Then the Ministry of Health and the Ministry of Labor (as the executors of the block)
4 - Then Mincifers
Then the initiative goes from top to bottom in priority, and not vice versa.
Important
At the meeting with the Ministry of economy not to discuss:
- Psychology
- PTSD
- humanitarian language
Speak:
- Return of labor resource
- Reducing economic losses
- Managed Model
- Pilot in Moscow
You need to prepare a separate version of the document:
"FSKR as an instrument of economic development and industrial policy"
Below is the version of the document under the Ministry of Economic Development and the Ministry of Industry and Trade.
Focus: economy, productivity, industry. Without social rhetoric.
FEDERAL SYSTEM OF INTEGRATED REHABILITATION (FSKR)
As an instrument of economic development and industrial policy
Pilot: Moscow city
Economic formulation of the issue
In the Russian Federation, a significant amount of labor losses is formed annually due to:
- severe injuries and diseases;
- post-traumatic disorders;
- disability;
- prolonged social maladjustment.
The existing model of rehabilitation is fragmented and does not ensure the return of labor potential to the economy in the optimal time. This forms:
- direct loss of GDP;
- Increased social obligations;
- reduction of labor productivity;
- Shortage of staff in key industries.
Proposed action
The creation of a pilot model of the FSCR - a managed system of returning citizens to economic activity.
Key objective:
The fastest and most sustainable return of able-bodied citizens to industrial and entrepreneurial activities.
FSCR unites:
- medical rehabilitation;
- psychological stabilization;
- social adaptation;
- professional retraining;
- support of employment;
- Digital monitoring of results.
Economic Impact (Model)
When returning to work 10–15 thousand people within the pilot:
- Increase in tax revenues;
- reduction of budget expenditures for long-term payments;
- Reducing the burden on the health care system;
- Reducing the shortage of personnel in industry and services.
Payback horizon: 3–5 years.
Integration with tasks
Ministry of Economic Development of the Russian Federation
FSCR is aligned with the priorities:
- Increase productivity;
- Increased employment;
- support of human capital;
- Reduction of structural unemployment;
- Building sustainable regional models.
Possibility to include in the programs:
- Productivity of work;
- National projects;
- Strategy of socio-economic development.
Industrial Outline
Ministry of Industry and Trade of the Russian Federation
FSCR generates demand for:
- domestic prostheses;
- robotic rehabilitation complexes;
- neurostimulating devices;
- telerehabilitation platforms;
- Digital medical solutions.
This creates:
- market of high-tech equipment;
- new production chains;
- import substitution;
- export potential.
The pilot in Moscow can become a showcase of domestic solutions.
Digital architecture
Single analytical platform:
- control of the rehabilitation route;
- Forecasting of return to work;
- analysis of the effectiveness of methods;
- Transparency of budget funds.
The digital contour provides controllability and scalability of the model.
Proposed steps
- Support the launch of the pilot project of the FSBR in Moscow.
- Establish an inter-agency working group.
- To work out the mechanism of inclusion of the project in economic programs.
- Prepare proposals for industrial localization of equipment.
Strategic positioning
FSCR is not a social initiative.
These are:
- productivity improvement tool;
- mechanism for reducing economic losses;
- driver of medical industry development;
- Managed return of human capital.