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Academician Khubutia announced the resignation from the post of head of the Sklifosovsky Institute. Director of the Research Institute named after

Life studied all the materials of Roszdravnadzor inspections at the N.V. Sklifosovsky Research Institute for Emergency Medicine over the past two years. Judging by the documents, the institute illegally performed high-tech procedures for cancer patients. And from patients who needed emergency help, doctors deceived them demanded money. At the same time, it was revealed that doctors are working on worn-out equipment, which they themselves are forced to repair. Roszdravnadzor, following the results of the official proceedings, accused the head physician of Sklif, Sergei Stolyarov, and the director, Mogeli Khubutia, of violations.

Radiosurgery without permission

At the Institute named after N.V. Sklifosovsky Research Institute for Emergency Medicine, the main medical institution in the country, which provides emergency assistance to people, has completed an official investigation. It was conducted personally by the deputy head of the Moscow Roszdravnadzor Denis Roshchin with his subordinates. One of the results: Sklif employees used the expensive Leksell radiosurgical system in violation of the law.

There is nothing wrong with the system itself - this is the so-called gamma knife. A directed beam of radiation is focused on the area of ​​the patient's brain where the tumor is located, and it is treated without skin incisions and craniotomy. This type of treatment is officially called HMP - high-tech medical care.

The violation was that Sklif's doctors did not have permission to work with such complex equipment.

At the Research Institute of Emergency Medicine named after V.I. N.V. Sklifosovsky Research Institute for Emergency Medicine, patients with a brain tumor are treated with radiation therapy without special permission (license), a source in Roszdravnadzor told Life. - And the professional training of medical specialists does not meet the requirements set by the Ministry of Health.

Roszdravnadzor named chief physician Sergei Stolyarov responsible for this. Now he was ordered to correct the violations by July 2017. If he fails to meet the deadline, he, as an official, faces a fine under an administrative article.

Paid free help

For a year and a half, Roszdravnadzor inspectors have visited Sklif 23 times. According to the results of the visits, a total of 34 violations were found. Sklif employees violated the rights of patients and the orders of the Ministry of Health. One example: a year ago they demanded money from a seriously ill patient for procedures that should be free.

A patient in a serious condition, which posed a threat to life and required emergency medical care, was provided with this assistance on a reimbursable basis, says the inspection materials.

According to the law, doctors have no right to refuse a person emergency assistance and are obliged to provide it free of charge.

The patient from whom the money was extorted wrote a complaint to the prosecutor's office. After that, Roszdravnadzor sent inspectors to the clinic. Based on the results of that check, the director of the institute, Mogheli Khubutia, was named responsible. He was obliged to eliminate the violations in a couple of months, but when the term expired, it turned out that things are still there.

As a result, devices for ultrasound and blood diagnostics were idle for seven months. That is, the management of the institute was not ready to spend money on their emergency repairs. At the same time, for example, the institute spent 1.3 million rubles only for the destruction of paper documents in 2017.

As a result

From 2016 to 2017, the Institute acted as an administrative defendant at least four times for ignoring the orders of various departments. That is, the inspectors find violations, demand to eliminate them, write pieces of paper and leave. When the deadline for meeting the requirements comes (usually several months), the inspectors come back and see that nothing has changed.

We sent inquiries to Sklif and Roszdravnadzor with a request to explain why this is happening, but did not receive prompt answers.

14:29 04.06.2017 - , Photo: TASS / Vladimir Yarotsky VIDEO

Academician Mogeli Khubutia, who left the post of director of the Sklifosovsky Research Institute of Emergency Medicine, was transferred to the post of president of the institute, the TV channel reports “ Moscow 24 ".

Commenting on the information that appeared in the media about Khubutia's departure, the department reported that the head of the department, Alexei Khripun, announced the appointment of the academician to the presidency at a meeting with the research institute staff on June 2.

Earlier it became known that the deputy director for science, 43-year-old Sergei Petrikov, was appointed acting. Khubutia himself stated that he remains a practicing surgeon at the institute.

Mogeli Khubutia headed the Sklifosovsky Research Institute of Emergency Medicine since 2006. He will turn 71 on June 17.

tags: Medicine

14:26 04.06.2017 -

Academician Mogeli Khubutia was appointed president of the Sklifosovsky Research Institute. It is reported by “ Interfax " with reference to the Moscow Department of Health.

The department stressed that in Moscow there are only a few institutions where honored health workers have the status of "honorary president." Khubutia, who will turn 71 on June 17, has headed the research institute since 2006.

Deputy Director for Science, 43-year-old Sergei Petrikov, has been appointed Acting Acting.

Earlier, "Lenta.ru" announced the resignation of Khubutia from the post of director of the Sklifosovsky Research Institute for Emergency Medicine. The publication noted that the decision was made due to gross violations revealed by the inspection of Roszdravnadzor.

tags: Medicine A. Khripun: The Department of Healthcare did not receive information about violations in the work of the N.V. N. Sklifosovsky 11:03 05.06.2017 -

The Moscow health department did not receive information from Roszdravnadzor about violations at the N.V. Sklifosovsky, the head of the department, Alexei Khripun, told reporters, commenting on media reports on the identification of such violations.

"We have not received any information on this matter from Roszdravnadzor. Therefore, I recommend that you contact Roszdravnadzor for comments on this matter."- A. Khripun said, answering the relevant question of journalists.

Previously to the agency “ Moscow " reported in the press service of the Moscow health department that Mogeli Khubutia, who previously held the post of director of the N.V. Sklifosovsky was removed from his post and appointed president of the institute. In turn, the portal Lenta.ru, citing a high-ranking source in the Moscow health department, said that this was primarily due to gross violations in the work of the institute revealed as a result of inspections by Roszdravnadzor. According to the publication, the Roszdravnadzor commission, which in April-May worked at the N.V. Sklifosovsky, revealed the facts of extortion of money from patients, as well as cases when seriously ill patients underwent high-tech operations, which they did not really need. In addition, several cases of falsification of medical and medical-financial documents were identified.

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Mogeli Khubutia: .

The academician said that he had been preparing for a long time for the fact that he would move away from managerial tasks and go to work as a surgeon. However, the decision to change the director of the N.V. Sklifosovsky Research Institute for Emergency Medicine, it became for him "a little unexpected turn", because it was taken at night.

Mogeli Khubutia: .

Khubutia also denied information that violations related to extortion of money from patients were found at the institute. According to him, there were no cases in the research institute when high-tech operations were carried out, which were not necessary. He denies that reports of such incidents were the reason for his departure from office, and called them slander. tags: Medicine

12:58 04.06.2017 -

Moscow. Academician Mogeli Khubutia said that he had left the post of director of the Sklifosovsky Research Institute for Emergency Medicine, but would continue to work in this institution as a surgeon.

“They didn’t get fired, but I left as president and left the job for my young deputy. I’ll have my favorite business there - surgery, which I’ll be doing, but I’m not going to deal with administrative issues, young people should do it”, - explained M. Khubutia on the air of the radio station “ Echo of Moscow ".

According to the academician, he "had been preparing for a long time" to leave the post of director and go to work as a surgeon, but the decision to change the director of the Sklifosovsky Research Institute of Emergency Medicine was "a little unexpected turn" for him, as it was made at night.

“This decision was probably the fastest made by some other person, and then I basically agreed with this., - specified M. Khubutia.

He also denied information that in the Research Institute of Emergency Medicine named after. Sklifosovsky, violations were found, in particular, extortion of money from patients and cases of high-tech operations in which there was no need, which allegedly served as the reason for his resignation from the post of director.

tags:
11:29 05.06.2017 -

The Moscow Healthcare Department did not receive information from Roszdravnadzor about violations at the N.I. Sklifosovsky, the head of the Moscow Department of Health Alexei Khripun told reporters.

"We have not received any information from Roszdravnadzor"- said Khripun, answering a question from a TASS correspondent about whether the information previously published in the media about the violations identified in the hospital is true.


The director leaves his post, but remains to work at the institute

Director of the Sklifosovsky Research Institute for Emergency Medicine, Doctor of Medical Sciences Mogeli Khubutia, was removed from his post. The famous doctor headed the no less famous institute for 11 years, and now - a hasty resignation. This news appeared on Sunday morning, unexpectedly for both Mogeli Shalvovich's colleagues and partly for himself.

Now Mogeli Shalvovich will take the honorary position of President Sklif, and his deputy for science, Sergei Petrikov, a well-known neuropathologist, professor at the Evdokimov Moscow State Medical and Dentistry Institute, is tipped for the director's position. At 43, he could become the youngest head of a key medical institution in Moscow. In the meantime, he was appointed only acting. Director of the Research Institute named after Sklifosovsky.

Comment of the chief neurosurgeon of the Moscow Department of Health, leading researcher at the Research Institute of Emergency Medicine Andrei GRIN:

According to the law, the head of the institute cannot be a person over 70 years old, because Mogeli Shalvovich could have left the post of director a year ago, upon reaching this age, and, by the way, he was going to do this. He stayed for another year only because he was asked to do so while a suitable replacement candidate was being selected. All talk about some kind of abuse is a lie. Under Khubutia, mortality from craniocerebral trauma has decreased by a third! Sklif is the only institution where Muscovites perform free high-precision operations to irradiate brain tumors using a gamma knife apparatus.

Despite leaving the post of director, Khubutia will remain at the institute, will continue to engage in surgical practice, which was difficult to combine with the position of a leader. Let me remind you that Mogeli Shalvovich is a very good transplantologist.

About his future fate, past, present and possible future of the Scientific Research Institute of the SP named after N.V. Sklifosovsky Research Institute for Emergency Medicine, academician Anzor Khubutia spoke in an exclusive interview with Vademecum.

- How was your first week as president of the institute?

“Of course, it's a little strange that I have fewer people in the waiting room now. Previously, it was impossible to get here, it was necessary to solve many practical and scientific issues. But I got the opportunity to devote time to science - as much as I wanted before, but, being the director of the institute, I could not afford it. I have big plans. In the near future I am going to write a monograph on liver transplantation, in future plans - to write a large book, a guide to transplantation. The last such manual was published many years ago under the editorship of Academician Shumakov, when I was still working at the Institute of Transplantology as his deputy. This edition, of course, is somewhat outdated, since it does not contain new data on the possibilities of this technology and new methods of transplantation.

I have already partially prepared for writing the manual - a year ago, the country's first textbook on transplantation for students of medical universities was published under my editorship. The team of authors included well-known transplant scientists, employees of Sklif and the Department of Transplantation and Artificial Organs of the Moscow University of Medicine and Dentistry, which I have been in charge of for almost 10 years. This department was created in this wonderful university, one of the first in the country. In 2011, under my editorship, the monograph "Organ transplantation in a multidisciplinary research center" was also published. The main idea of ​​this book is the possibility of successful and effective development of transplant programs on the basis of large scientific and practical multidisciplinary associations with round-the-clock operation of all diagnostic services and efferent technologies, as well as the availability of very high-level specialists. The medical community liked both the textbook and this monograph. We have received a lot of positive feedback on these publications.

- Is your successor Sergei Petrikov already in a new capacity?

- Not much time has passed since his appointment, while he is acting director, the question of his future fate is being decided. Of course, he has some uncertainty. But he studied and worked at this institute almost all his adult life, knows him well from the inside. He is a very energetic, competent, educated person, a brilliant professional. I don't know if there is someone in Russia who is equal to him in his area. He proved to be an excellent organizer in the position of my deputy for science and the head of the regional vascular center. He certainly has his own vision of the development of the institute. He is a very straightforward and principled person, and this is what the institute needs now.

He will not destroy what we have done over the years, but only add to it. I think that such people should be the heads of the leading healthcare institutions. I am convinced that the decision of the Moscow government to appoint and. O. director of the institution, it was him who was faithful.

- Did the personnel reshuffle in the research institute come as a surprise to your successor?

- For Sergei Sergeevich - maybe. Probably, he was somewhat confused, because he asked: "How could this be decided so?" But I was just expecting this: the expiration date of my contract was approaching, and the existing age limit in the country for managers of such a rank as the director of the institute led me to think about the possible termination of my activity as an administrator, since I will soon turn 71. True, everyone says that I am still in excellent shape, I operate a lot, but still the time has come to move away from administrative management.

- That is, you prepared in advance for leaving the post of director?

- I did not rule out such an option.

- Did you expect the department to decide?

- On Thursday, June 1, my contract ended. Alexey Ivanovich Khripun called me and said that I needed to meet. We met and discussed this issue. Yes, of course, the decision was made by the department, with which I agreed and wrote a letter of resignation from the post of director. I think it was the right and honest act on my part. In addition, if Sergei Petrikov is approved as director, the institute will flourish and develop.

- Several months ago Petrikov became your deputy for science. It turns out that you already started preparing a successor for yourself?

- That appointment was logical - Sergei Sergeevich was ideally suited to the position of my deputy.

- Your colleagues say that in fact it was the conflict with Leonid Pechatnikov that caused you to leave the post of director. This is true?

- No, there was nothing like that, everything was peaceful and calm.

- What do you think about the publication in the media about the illegal high-tech procedures and extortion of money that allegedly took place in Sklif?

- This is slander. The Health Department has already issued a rebuttal to this. Yes, we had minor violations, but not on the scale described in the press. If we had extortion, the trial would have been going on for a long time, the prosecutor's office would have taken care of this. How is it - a person did not need to have an operation, but they did it? This means that the person has been harmed - physically and mentally, for this you need to go to jail! 3 thousand people work here - and that, it turns out, did everyone agree with this? Everyone understands that I will not go to the courts and will not sue for libel. At this time, I’d better write an extra page of the book or give a lecture. Of course, if such attacks had not stopped, I would have turned to the prosecutor's office. But now, I hope, there will be no such need.

- And how did the Sklif team react to the news about the change of leadership?

- On Friday, June 2, we had a morning conference at which Aleksey Ivanovich Khripun thanked me for my successful and effective work as director of the institute and announced that Sergei Sergeevich Petrikov would be appointed acting director, and I remain at the institute as president ... Of course, on the sidelines, many employees said to me: "You are still so energetic, how is it?" But I reassured everyone, said that I was staying at the institute, the doors of my office were always open, I would continue to study science and educate young people.

- What operating capacity does your successor get?

- This year marks 11 years since I came to Sklif as a director. There was a difficult situation at the institute, and the times were hard, science suffered, there were no scientific publications of its own, and there were few scientific societies. My task was to align the institute and bring it to the level of modern research centers. Much has been done over the years. The nature of emergency surgery operations has changed - they have become much more complex. In general, over 10 years the number of emergency operations at the institute has increased by 10-12%. Now we are doing about 64 thousand emergency operations a year. When I arrived, I immediately opened two more operating rooms for the neurosurgery department, so that they were able to perform three times more operations than before. The role of science was significantly strengthened. Today, the institute is developing such scientific areas as anesthesiology and resuscitation, emergency surgery and cardiovascular surgery, gynecology and neurosurgery, traumatology and combustiology, clinical toxicology and emergency cardiology, psychosomatics, and a regional vascular center. I devoted a lot of effort to the development of such an important scientific and practical direction as transplantology at the institute. Organ transplantation department was established. Some people had a question: why does Sklif need a transplant? But I have already written more than one article on this matter, read more than one lecture that transplantation is a very science-intensive discipline, a science at the intersection of many specialties, and it should develop on the basis of large multidisciplinary medical centers. All over the world, it usually exists in university clinics, where all medical profiles are represented. NII SP them. N.V. Sklifosovsky Research Institute for Emergency Medicine, it is ideally suited to these tasks. During these 11 years, two new interregional scientific societies have been established at the institute - the Society of Emergency Medicine Physicians and the Society of Transplantology, of which I am president. Each of them has its own journal included in the list of publications recommended by the Higher Attestation Commission. A large number of congresses and scientific conferences have been held on topical problems of emergency medicine and transplantology.

- What exactly did you bring to Sklif as a transplant doctor?

- Before us, no one in the city systematically performed organ transplant operations - such interventions were concentrated only in federal centers. Transplant departments were distributed among the city hospitals, where very few transplants were performed. Moscow is a huge metropolis, in New York, for example, there are 29 municipal organ transplant centers. Before me, a liver transplant center had already worked here, but it was ineffective, performing four or five operations a year. All over the world, such operational activity is considered simply unprofitable. With my arrival, a transplant center was created, where a kidney and a pancreas are transplanted. A heart transplant was started on the basis of the Department of Cardiac Surgery. We were the first in Russia to start lung transplantation on our own. Over the past 10 years, 481 liver transplants have been performed, over a thousand kidney transplants, over 100 heart transplants, three unique bowel transplants have been performed, which no one in Russia does. The emergence of strong transplantology at Sklif also changed the team. This is such a complex area that it requires the involvement of different specialists, and people, willy-nilly, participate in the treatment of such patients, gaining additional knowledge. Of course, this adds competencies to them, raises the level of the institution. I myself realized how much Sklif had changed when I was invited to give an interview to one of the federal TV channels, and the presenter asked the following question: “Previously, people tried to pay so that they would not be taken to Sklif, but now, on the contrary, they are ready to pay just to get there. What did you do there? "

- When you became the director of Sklif, many doctors expressed dissatisfaction with the reforms you initiated. How did you manage to turn the tide?

- The team here was very difficult. Before me, Alexander Sergeevich worked for 14 years, and before him five directors were replaced in a row. Well, the team is used to working, I would say, at a slow pace. But I paid attention to each head of the department, told where we were heading. Then, by my own example, I showed what I was striving for - I myself began to do the first kidney and pancreas transplants, and people were finally convinced that the chief surgeon had come.

“But your predecessor is also a surgeon.

- Yes, but in recent years Alexander Sergeevich has not actively operated on.

- Is it important for Sklif to have a surgeon in charge?

- Of course, this is a surgical clinic. As a last resort, even if the director is not a surgeon, he must know the surgery well. Sergei Petrikov, for example, is a resuscitator, but he has been with surgery all his life and knows it as well as surgeons.

- Did you fire many when you became a director?

- Almost nobody fired. I immediately said that I would not tolerate three things: extortion, negligence and, God forbid, if a person came to work drunk. And everyone knew that such misconduct would surely end in dismissal. Anyone who works hard can have mistakes. Who is not wrong? I have never been a formal leader, I have always released employees to international conferences and congresses. This added knowledge to them, people brought something new from there, we then shared it with each other. It was a very good incentive.

- All of the above required funding. Where did you get the money?

- We were very much supported by the Moscow government - both organizationally and financially. Of course, at first there were doubts, we were told: "Why do you need a transplant?" But then the representatives of the Department of Health became convinced that this was not just a waste of money, but a huge help to people, including those with diseases of the heart, lungs, liver and kidneys. We managed to convince the management of this with the results of our effective activities, which are not inferior to any other developed country in the world. We were regularly provided with subsidies, which allowed us to get on our feet. Then we learned how to make money on the services provided under the compulsory medical insurance, correctly draw up documents, medical records, keep statistics, and avoid fines from insurance companies.

- Who specifically supervised you in the Moscow Department of Health? When you came to Sklif, Pechatnikov was the head of the department. Did he support you at the first stage?

- Yes, he did a lot, primarily for the development of transplantology at the institute, participated in the opening of new transplant departments in the second building of the institute, appointed me the chief specialist-transplantologist of the Moscow Healthcare Department. In recent years, the mayor of the city, Sergei Sobyanin, has also provided large-scale support to us.

- Aren't you afraid that under the new director the transplantation service you have been building for so long will suffer?

- If this happens, first of all, not so much the status of the institute will suffer, as Muscovites, people who are on the waiting list for organ transplants. At our institute, this technology is a priority, first of all, for Muscovites. If transplantation as a technology is lost in Moscow, then all Muscovites will be sent for organ transplants only to federal centers. But patients from all over Russia are treated there, and Muscovites will also join this large general waiting list. I think that this will not improve the situation with the provision of this type of high-tech assistance to Muscovites. This will be fundamentally wrong. If such steps are taken, of course, I will be categorically against. But I don’t think any leader can do that. What will he tell people?

- Now that you have more free time than you plan to do, apart from scientific activity? Maybe go on vacation?

- You know, until I go anywhere, I still want to finish the manual on transplantation. In addition, I want to wait until everything is working out at the institute - a new director appears, takes control of the situation. Surely he will have questions, after all, this is a huge organization, you can't just leave everything and leave. But I really want to go on vacation.

Khubutia, Sklifosovsky, resignation, Moscow health department

Academician Khubutia announced the resignation from the post of the head of the Sklifosovsky Institute

© Photo by Marina Boytsova

The director of the Sklifosovsky Research Institute for Emergency Medicine, academician Mogeli Khubutia, said on the air of Echo of Moscow that he had resigned from his post.

“They didn't fire me, but I left as president and left the job for my young deputy. I will have my favorite business there - surgery, which I will deal with, but I will not deal with administrative issues, this should be done by the young, ”he said.

The announcement of his resignation gave a greater resonance when Lenta.ru reported after midnight that Khubutia had been removed from office. This was told to the portal by a high-ranking source in the capital's health department and confirmed by two employees of the research institute.

“The head of the Moscow health department, Alexei Khripun, came to the morning conference and announced that Khubutia no longer runs the institute, since his contract expired on June 2. Deputy Director for Science, 43-year-old Sergei Petrikov, has been appointed as acting, ”the last two sources said.

As the interlocutor in the city health department noted, the dismissal was primarily influenced by the gross violations revealed by the inspection of Roszdravnadzor. “The Roszdravnadzor Commission, which worked in the Sklifosovsky Research Institute in April-May, revealed the facts of extortion of money from patients, as well as egregious cases when seriously ill patients were undergoing high-tech operations, which they did not really need. In addition, several cases of falsification of medical and medical-financial documentation have been identified, ”he said.

According to him, “the acts were so blatant that no one had any doubts about the need to dismiss Khubutia”.

Later, the health department informed that Khubutia would be the president of the research institute.

“Mogeli Shalvovich is one of the most honored doctors in Russia, who has done a lot for the institute, the capital's healthcare and domestic medicine in general. He is a renowned scientist and chief freelance transplant specialist in the Department of Health. The status of the president of one of the leading Russian clinics will contribute to the further fruitful work of Mogeli Shalvovich for the benefit of Russian health care, ”said the head of the department, Aleksey Khripun.