ROUTE

Positioning

FSKR =

The human capital return program

. . . reducing social tensions

> strengthening internal stability

The element of national security

Short version for initial consideration 

1. Problem (1 page)

• Increase in the number of people in need of rehabilitation
• Division of agencies
• Lack of a single digital route
• Loss of labour potential

Formulation:

The lack of a unified federal rehabilitation system creates long-term social and economic risks.

2. Decision (1 page)

Creation of the Federal System of Comprehensive Rehabilitation (FSKR) under the operatorship of the Union STRONG COUNTRY:

• Single Route
• Digital Circuit
• AI-monitoring
• professional integration

3. Effect on National Security (1 pages)

• Reduction of social frustration
• Reducing Criminal Risks
• Return of people to the economy
• Building confidence in institutions
• reduction of budget burden

This is a language that the Security Council understands.

4. Management Model (1 page)

• Federal Coordination Center
• Project Office of the Union
• Interdepartmental Working Group
• Pilot 3 Region
• AI-transparency circuit

5. Financial framework (0.5 pages)

Pilot 24 Months — ~5,15 billion rub.

Comparison:

One large infrastructure is more expensive.

Here is the return of human resources.

6. Please (0.5 pages)

• Support the establishment of an inter-agency working group
• Identifying a profile curator
• Allow the launch of the pilot phase

The Security Council needs to strengthen the bloc

Add a section:

Social sustainability as an element of internal security

Key theses:

• People who have not undergone rehabilitation → risk of social isolation
• Social isolation → risk of destructive scenarios
• Rehabilitation → reduction of systemic risks

The wording should be calm, without emotions.

Package of documents for transfer

• Brief analytical note (7 pages)
• The concept of FSKR (15–20 pages)
• Budget and phases
• Organizational model
• Draft instruction on the establishment of a working group

Important

At this level:

• You cannot overwhelm the terminology.
• You can not do “grant” vocabulary
• You can’t say “fund”

We say:

A federal model is proposed, the operator is the Union as a methodological center.

Below is a draft analytical note for submission to the Presidential Administration and the Security Council. The style is strict, without too much rhetoric.

ANALYTICAL NOTE

About creation of the Federal system of complex rehabilitation (FSKR)

(for consideration at the level of the Presidential Administration and the Security Council of the Russian Federation)

1. Reason for preparation

In the Russian Federation, there is a steady increase in the number of citizens in need of comprehensive rehabilitation:

• veterans of hostilities;
• law enforcement officers;
• participants in emergency situations;
• citizens after serious injuries and diseases;
• persons with post-traumatic disorders;
• families of the dead and injured.

The current rehabilitation system is fragmented. Medical, psychological, social and professional assistance is implemented separately, without a single route and digital control of the result.

The absence of a comprehensive model creates long-term social and economic risks.

2. Issues

• There is no single federal standard for comprehensive rehabilitation.
• Distinction of departmental systems.
• Lack of a patient's end-to-end digital route.
• Insufficient integration of vocational rehabilitation and employment.
• Lack of a unified performance monitoring system.

Consequences:

• Increased social isolation;
• Increasing the budget burden;
• repeated hospitalizations;
• loss of labor potential;
• Increased social tension.

3. Risk assessment for internal sustainability

Ineffective rehabilitation leads to:

• formation of sustainable groups of social maladaptation;
• growth of criminogenic factors;
• Increased psychological instability;
• Decreased trust in institutions;
• Long-term decline in human capital.

In the face of modern challenges, social sustainability is an element of national security.

4. Proposed action

Creation of the Federal System of Comprehensive Rehabilitation (FSKR).

The FSCR is a single managed model that includes:

• medical unit;
• psychological block;
• social adaptation;
• professional integration;
• digital analytical platform;
• monitoring system and independent audit.

5. Management model

Suggested:

• Establishment of a Federal Coordination Centre.
• Formation of an interdepartmental working group.
• Development of a federal standard for comprehensive rehabilitation.
• Implementation of a single digital monitoring platform.
• Launch of the pilot stage in 2–3 subjects of the Russian Federation.

Methodological and project operator can be the Fund "Union strong country".

6. Digital contour

It provides for the creation of an intelligent platform that provides:

• through rehabilitation route;
• forecasting the risks of failure;
• monitoring the effectiveness of the regions;
• prevention of distortion of indicators;
• Integration of interdepartmental data.

Principles:

• protection of personal data;
• access differentiation;
• independent audit;
• Transparency of assessment methods.

7. Stages of implementation

Phase I (0–6 months):

• formation of a working group;
• development of a regulatory framework;
• design of digital architecture;
• Selection of pilot regions.

Phase II (6–18 months):

• Launch of the pilot;
• introduction of a digital route;
• Launch of analytics system.

Stage III (18–36 months):

• scaling to all subjects of the Russian Federation;
• Formation of the federal efficiency rating.

8. Financial framework

Pilot stage (24 months, 3 regions):

Indicative budget — ~5,15 billion roubles.

Funding is provided under federal co-financing with the participation of regions and partner structures.

9. Expected results

In the horizon 5 years:

• coverage of at least 80% in need;
• at least 60% successful professional integration;
• reduction of repeated hospitalizations by at least 25%;
• Reducing long-term social dependence.

10. Proposed

• Support the concept of the creation of the FSCR.
• Establish an inter-agency working group.
• Identify the project's profile curator.
• Consider launching a pilot phase.

We make three documents:

1 - Project of the President of the Russian Federation

2 - Draft Decision of the Security Council of the Russian Federation

3 - Mechanism for coordination and submission

The style is official, without too much publicity.

1 - PROJECT OF THE RULE OF THE PRESIDENT OF THE RUSSIAN FEDERATION

VIOLATION

the Federal System of Comprehensive Rehabilitation (FSKR)

In order to increase social stability, return human capital to the economy and form a single model of comprehensive rehabilitation of citizens of the Russian Federation,

I beg your pardon:

• The Government of the Russian Federation:
  1.1. In the period up to ________ to prepare proposals for the creation of the Federal system of comprehensive rehabilitation (FSKR).
  1.2. Ensure the development of a federal standard for comprehensive rehabilitation, providing for medical, psychological, social and professional blocks.
  1.3. To prepare proposals for the formation of a single digital platform for monitoring and evaluating the effectiveness of rehabilitation.
  1.4. Identify 2–3 subjects of the Russian Federation for the pilot stage.
• To the Ministry of Health of the Russian Federation together with the Ministry of Labour and Social Protection of the Russian Federation:
  2.1. Develop an interdepartmental regulation of cooperation within the framework of the FSCR.
  2.2. Prepare proposals for staffing the system.
• Ministry of Digital Development, Communications and Mass Communications of the Russian Federation:
  3.1. Ensure the formation of the architecture of the digital platform of the FSBR in compliance with the requirements for the protection of personal data.
• Presidential Administration of the Russian Federation:
  4.1. Coordinate the execution of this order.

The report is dated ________.

President of the Russian Federation

2 - DRAFT DECISION OF THE RUSSIAN SECURITY COUNCIL

DECISION

the Security Council of the Russian Federation

on social sustainability and comprehensive rehabilitation of citizens

Having considered the issue of ensuring social sustainability and the return of human capital, the Security Council of the Russian Federation notes:

• The absence of a single federal model of comprehensive rehabilitation creates long-term social and economic risks.
• The fragmentation of departmental approaches reduces the effectiveness of state support measures.
• The formation of sustainable groups of social maladaptation can create additional risks to internal stability.

The Security Council of the Russian Federation decided:

• Support the creation of the Federal System of Comprehensive Rehabilitation (FSKR).
• Recommend to the Government of the Russian Federation to develop and submit a set of measures for the creation of the FSCR.
• Establish an interdepartmental working group.
• Provide for the introduction of a digital monitoring circuit and independent audit.
• To consider the results of the pilot phase at a meeting of the Security Council up to ________.

Security Council Secretary of the Russian Federation

3 - MECHANISMS OF HARMONIZATION AND CONTRIBUTIONS

In order not to “get lost”, you need to act in stages:

Stage 1. Preliminary agreement

• informal discussion with the profile management of the AP
• Consultation with the relevant Deputy Minister
• Receiving preliminary comments

Stage 2. Formation of work support

• the Ministry of Health
• Ministry of Labor
• Minzifra
• Regions-pilots

Stage 3. Introduction

Possible channels:

• through the profile management of AP
• the Government Apparatus
• through the Security Council secretariat

Important

At this level, you can not go “from the fund”. You have to go like:

system interdepartmental initiative with ready architecture.

If we “build”, we act according to the rules of the real system, not on paper. The level of the Presidential Administration and the Security Council cannot be entered with a “fund project”. They come here through an architecture of trust and support. Lay out the route.

The correct logic of entry

Not like this:

“This is our initiative, please support us.”

? Yes:

“There is an interdepartmental problem, we offer a systemic solution. Support is already being built.”

Entry route (working algorithm)

Stage 1. Formation of a “legitimacy base”

We need 3 support type:

• Profile Ministry (Ministry of Health or Ministry of Labour)
• 1–2 subject of the Russian Federation (readiness to become a pilot)
• Expert opinion (not from the fund, but from profile specialists)

Without this, the initiative will be perceived as external.

Stage 2. Pre-entry

We're not going straight to SB. First, the AP profile management.

Usually it is:

• Office of Public Projects
• Office of Internal Policy
• or profile curator of the social block

At the meeting:

• 3 pages analytics
• Clear: → Risks → Solution → Pilot
• without ideology
• without loud wording

Stage 3. Formation of an interdepartmental core

After prior consent:

• Working Group
• the Protocol on the Study
• Clarification of the budget
• The Department of Responsibility

Only then is it logical to reach the level of the Security Council.

What to prepare for the first visit

1 - Brief 3-page note (hard, without excess)

2 - List of possible pilot regions

3 - Letter of support (at least one from a region or agency)

4 - Information about the operator (SOYUZ - competence, without pathos)

What not to do

• You cannot go without the support of the Ministry.
• You can not go directly to the Security Council with the “fund initiative”
• No emphasis on budget
• Can not be overloaded with terms AI

The first stage is important:

• Controllability
• Interagency
• Risk reduction
• Return of labor resource

Realistic assessment

If done correctly: 6–9 months before the formal assignment.

If you go directly and without support, the document will simply go to the relevant department “for consideration” and hang.

STEP 1. Moscow as a pilot.

Moscow is: Moscow

Advantages:

• developed medical infrastructure
• digital environment
• Strong IT teams
• Controllability
• political weight

Positioning:

The pilot in Moscow is like a model of scaling to the regions.

Not a “federal program for the whole country”, but first a controlled demonstration circuit.

STEP 2. Forming an expert core

It is not necessary formally, but really:

• 2–3 Leading Rehabilitation Physicians
• Specialist in PTSD
• Expert on social adaptation
• representative of employment
• Digital Architect  

STEP 3. 

Meeting at the relevant ministry

Not with initiative. And with the wording:

Moscow is ready to work out a pilot of systemic comprehensive rehabilitation. We ask the Ministry to support the formation of an interagency model.

The meeting should include:

• 3-page note
• Model Scheme
• Moscow's readiness
• support of experts

The purpose of the meeting is not an assignment.

The goal is for the ministry to become a co-initiator.

STEP 4. Only after that - enter the AP

When there is:

• the Protocol on the Study
• Letter of Support
• Expert opinion
• The agreed pilot

Then the initiative sounds different:

As part of the interdepartmental study, it is proposed to support the pilot of the FSCR.

That’s a completely different level of weight.

Strategic Logic

Moscow → Pilot → Interagency Group → Protocol → AP → The Commission → SB

Not the other way around.

 What I propose to do now

1 - Prepare 3-page hard note under the Ministry

2 - Prepare a draft letter from Moscow (or profile structure)

3 - Prepare the structure of the expert opinion

If you act quickly and carefully - the first serious movement can be done within 1–2 months.

1 - Three-page note for the Deputy Minister

(structure and text)

Page 1 — Problem and risk

Theme: Formation of a system model of comprehensive rehabilitation.

Briefly:

• In Russia there is no single interdepartmental model of comprehensive rehabilitation.
• The medical, psychological, social, and occupational blocks are scattered.
• There is no digital route and no end-to-end control of the result.
• This leads to a loss of labor potential and an increase in social load.

Key wording:

In the face of current challenges, a managed model of human capital return is needed.

Page 2 — Proposed solution (pilot Moscow)

Suggested:

• Launch of the FSKR pilot on the basis of Moscow.
• Formation of an interdepartmental working group.
• Development of the federal standard.
• Implementation of a digital route and analytical platform.
• Evaluation of results after 12 months.

Moscow is a demonstration circuit for scaling.

Page 3 — What is required of the Ministry

• Support for the establishment of a working group.
• Definition of a profile curator.
• Harmonization of the pilot model.
• Support for reaching the AP level after the development stage.

You need to finish like this:

The project is focused on improving manageability, efficiency and social sustainability.

No big words.

2 - Draft letter 

Dear ________,

In order to increase the effectiveness of comprehensive rehabilitation of citizens of Moscow and the formation of an interdepartmental model of returning citizens to full life, we suggest considering the possibility of launching a pilot project of the Federal System of Comprehensive Rehabilitation (FSKR).

The city of Moscow has the necessary infrastructure and digital base for the implementation of a demonstration pilot with subsequent scaling to other subjects of the Russian Federation.

We ask you to support the formation of an interagency working group to study the model and prepare proposals for regulatory clearance.

With respect,

3 - Structure of expert opinion

Title:

Expert opinion on the need to form a system model of comprehensive rehabilitation

Contains:

• Analysis of current status.
• Problems of fragmentation.
• The need for inter-agency integration.
• The need for digital monitoring.
• Recommendation for launching a pilot project.

Subscribers:

• Leading Rehabilitation Specialists
• Psychologists (PTSD)
• Representatives of social adaptation
• Digital Medicine Expert

Important:

The conclusion should be professional, without political wording.

Strategic Algorithm

• Meeting with the Deputy Minister.
• Obtaining oral consent for the working group.
• Protocol of inquiry.
• Letter of support.
• After that, go to AP.

Key point

At the level of deputies should say:

• Controllability
• efficiency
• load reduction
• control of the result

Don't say:

• “National Security”
• “Systemic Breakthrough”
• “Federal Initiative of the Fund”

Restraining = seriousness.

If you have access to the deputies in the Ministry of Health, the Ministry of Labor and the Ministry of Culture, you can assemble a three-circuit model and go directly as an interdepartmental structure. It's a different weight.

Strategy: three-way event

Not going separately. Go with a common frame:

Comprehensive model of rehabilitation as an interdepartmental platform.

 Roles of ministries (clear distribution)

The Ministry of Health — the medical core

Area of responsibility:

• Clinical protocols
• Rehabilitation standards
• Routing of the patient
• Neurorehabilitation
• Telerehabilitation

We tell them:

Increase the effectiveness of treatment and reduce re-hospitalization.

Ministry of Labor - social and professional integration

Area of responsibility:

• Social Support
• family support
• Retraining
• Employment
• Adaptation of jobs

We tell them:

Return to work and reduce social dependence.

>Minds - digital architecture

Area of responsibility:

• Platform
• Integration of agencies
• Data protection
• Analytics
• AI-model

We tell them:

Formation of a single digital monitoring circuit.

Meeting Tactics

Not three meetings with a different agenda. And three meetings with the same frame and different accent.

Scenario:

• Shows the overall architecture.
• Clearly indicate the area of responsibility of a particular ministry.
• We propose the formation of an interdepartmental working group.
• The pilot is in Moscow.
• Do not discuss the global budget.

Need one document for 4 pages:

"Interagency model of the FSCR (pilot Moscow)"

Structure:

• Problem (1 p.)
• Architecture (1 pages)
• Distribution of ministerial roles (1 p.)
• Suggested steps (1 p.)

Key point

When the three Deputy Ministers agree on the study, you have:

• Interagency legitimacy
• Ability to create a protocol
• reason for entry into AP

Then you come to the AP not as a fund, but as an initiator of interdepartmental research.

Risks

If one of the ministries perceives this as “taking away powers”, the project is slowed down.

Therefore, the accent:

• not to create a new structure,
• Improving the manageability of existing mechanisms.