MIL OSI Translation. Region: Russian Federation –
The new building will employ 230 people, including 80 doctors, 100 nurses and 50 other staff.
On the eve of the Day of the Medical Worker, a children’s infectious complex was launched in Kommunarka, which will be able to receive the first patients on June 19. It was erected as part of the second phase of the construction of a multidisciplinary clinical hospital. The opening was attended by the Chairman of the Government of the Russian Federation Mikhail Mishustin and the Mayor of Moscow Sergei Sobyanin.
Mikhail Mishustin congratulated medical workers on their professional holiday and stressed that the authorities actively support doctors, medical services and medical institutions.
“Over the past five months, about a quarter of a trillion rubles have been invested, of which 100 billion are incentive payments to doctors, presidential payments,” noted Mikhail Mishustin, adding that assistance will continue to be provided. – Just yesterday, at the coordinating council for the fight against coronavirus infection, we discussed, among other things, the need to increase funding for the health insurance system. A decision has been made to allocate 25 billion rubles already now for the health care system, ”said the Chairman of the Russian Government.
He also announced the signing of a decree of the Russian Government on in-depth medical examination. Mikhail Mishustin expressed the hope that, first of all, this will help people with chronic diseases that are complicated after the coronavirus.
Sergei Sobyanin also congratulated the doctors on the Day of the Medical Worker.
“Sincere words of gratitude and gratitude, congratulations to all medical workers in Moscow. The largest detachment in our country is about 250 thousand workers, including federal clinics, private clinics, which every day, around the clock, is on guard of people’s health. Thank you very much. Happy holiday to you, ”he said.
The Moscow Mayor stressed that the construction of a new hospital in Kommunarka is going according to plan. A 100-bed children’s infectious diseases ward will open tomorrow. It was built according to the most modern standards of medical care and will accept children with infectious diseases from all over Moscow. The new building will become part of a single medical complex in Kommunarka.
“The infectious disease ward, which we have built and are introducing, will receive the first patient tonight. Plus a children’s hospital and a radiation building, which we are currently designing. The four buildings that will be commissioned here are about 60 thousand square meters. There will be 160 thousand in total. This is the largest hospital in the post-Soviet space, which began to be built from scratch in an open field and in such a volume, multifunctional, ”said Sergei Sobyanin.
The new building will employ 230 people, including 80 doctors, 100 nurses and 50 other specialists.
The construction of a four-storey building with an underground floor was completed in May this year. The area of the infectious disease building is 12.95 thousand square meters. It created conditions for the provision of emergency and urgent care to children aged from one month to 18 years old with acute intestinal and airborne infections, including such dangerous ones as purulent, serous meningitis and encephalitis (inflammatory diseases of the brain), severe intestinal toxicosis and meningococcal infection.
“We have reviewed the plan for how your hospital will expand. We spoke in detail that the creation of a center of competence for all medical services at one point is the correct international path that Moscow is following, which you are effectively implementing here, on the basis of Kommunarka. We examined the children’s infectious diseases department, a perinatal center, a children’s hospital will be opened – all this will make it possible to create a competence center here, to help both the whole country and Muscovites who will apply for services to this center, ”Mikhail Mishustin said.
Thanks to the diagnostic service equipped with modern equipment, it is not necessary to transport infectious patients to other medical facilities, and the admission department for four Meltzer boxes will ensure their isolation from the moment of admission. There are 40 such rooms in the building. They are equipped with oxygen consoles and anti-shock pads, which will allow, when a patient in serious condition is admitted, to deploy an anti-shock ward in the box and provide emergency assistance on the spot. Also, patients will be accommodated in specialized departments in single and double wards.
“You know the Moscow healthcare system well, it consists of more than 30 largest multifunctional centers, where there is everything, where any disease can be treated. We decided to introduce this system not in old buildings, but in new buildings, where everything will be, starting from the treatment of cardiovascular diseases, childbirth, infectious diseases, and there will also be an oncological center – the sixth oncological center in Moscow will be based on this hospital. Therefore, a radiation therapy building is still under construction here. As practice has shown, this is the best system, when all types of medical care, all directions are located on one site, because a person, especially with oncological diseases, can have very different complications – both on the heart, and on the stomach, and on the lungs. and there must be a corps of doctors, technologies and equipment that could provide a comprehensive service. The whole world, by and large, is moving towards this, ”stressed Sergei Sobyanin.
In the express laboratory and X-ray room, operating around the clock, it will be possible to immediately carry out all the necessary studies to make a diagnosis and start treatment.
In the intensive care unit, there are four boxes for six beds with the possibility of increasing their number to 11. Boxes are air-conditioned medical modules. Each of them has an individual air conditioning system, which creates the necessary microclimate and guarantees a high level of epidemiological safety.
In addition, infusion sets are provided in all wards – devices that allow you to measure and administer the exact dosage of a drug to a patient, as well as medical consoles for supplying medical gases and power supply to the treatment site.
A high level of comfort was provided for the patients: the boxes have multifunctional beds with electric drives, buttons for calling the medical staff, TVs, showers, and toilets. The children will also be provided with multimedia tablets.
In addition, an endoscopy department, rooms for ultrasound and functional diagnostics, and offices of an otorhinolaryngologist and a neurologist will be opened as part of the treatment and diagnostic department. The specialists will have at their disposal expert-class ultrasound and electrocardiographic devices, including portable ones for carrying out diagnostic measures at the patient’s bedside.
A telecontrolled digital X-ray machine will make it possible to perform non-contact diagnostics and control the research process remotely. The specialist will be able to navigate the patient through the speakerphone.
Also, an X-ray diagnostic complex, three anesthetic and respiratory devices, nine ventilators, three video endoscopic systems, an ultrasound machine, three acid-base analyzers and laboratory equipment for an express laboratory were installed here.
As in the entire hospital complex in Kommunarka, the new building implements the concept of tablet nutrition – portioning of ready meals is carried out in the catering unit, and not in the departments. Food will be laid out in individual portions in disposable dishes and delivered to patients using transport trolleys.
The unique navigation system will help to separate flows of patients with different infectious diseases for diagnosis and treatment. The layout of the premises takes into account all the requirements of epidemiological safety. There are sanitary checkpoints and locks, separate elevators and corridors for personnel, special wards, treatment rooms, germicidal installations, medical equipment for oxygen supply, as well as rooms for storing materials and protective equipment. A garage box for disinfection of sanitary vehicles was built next to the building.
Stages of creating a medical center in Kommunarka
The medical complex under construction in Kommunarka will occupy 13 hectares. Its area will exceed 160 thousand square meters. More than 1260 beds are deployed in the hospital, and more than three thousand doctors and other specialists will work here.
The new clinic is intended to provide planned and emergency care to residents of the TyNAO, Butov, Solntsev, Novo-Peredelkin and other districts and districts of the capital. Patients will be able to receive a full range of services – diagnostics, inpatient and outpatient treatment, high-tech care – in almost all profiles of medical care.
The construction of the hospital began in January 2017 and is being carried out in several stages. In December 2019, the construction of the first stage was completed – four buildings with a total area of 87.2 thousand square meters. Among them is the medical and diagnostic building. This is a five-storey building with an underground floor with a total area of 25.8 thousand square meters, which houses a radiation diagnostics department with CT, MRI, X-ray diagnostics and mammography rooms, a clinical diagnostic laboratory, a central sterilization department, departments of ultrasound diagnostics, endoscopy, functional diagnostics, physiotherapy and physiotherapy exercises, anesthesiology and resuscitation. There are angiographic, hybrid, orthopedic and traumatological, neurosurgical operating rooms, as well as general operating rooms. In addition, a conference hall for 300 seats and a canteen for employees with 250 seats are equipped.
In the four-storey auxiliary building with an underground floor of 9.1 thousand square meters, there is a disinfection department, a catering unit, an in-hospital pharmacy, a warehouse of medical supplies, a laundry, and a blood storage and distribution service.
The three-story pathological building with an underground floor is equipped with modern morphological and genetic laboratories, a forensic medical examination department with a laboratory group, as well as administrative and utility rooms. The total area is 9.4 thousand squares.
The eight-storey ward building is designed to accommodate specialized departments for the main types of medical care for adults. Patients will stay in comfortable small wards with a bathroom, shower and modern ventilation system. In total, 802 beds are deployed in it, including 66 beds in the intensive care unit.
The commissioning of these buildings was scheduled for the spring of 2020. However, in connection with the spread of a new coronavirus infection, it was decided to redesign the hospital ward building to accommodate patients with suspected coronavirus and a confirmed diagnosis. Thus, the hospital in Kommunarka became the first and most famous coronavirus hospital in Russia.
In October 2020, a reserve hospital with 1249 beds began to receive patients on the territory of the medical complex in Kommunarka. Since March 1 last year, about 33.5 thousand patients with coronavirus infection have been admitted to the hospital.
Speaking about the fight against coronavirus, Sergei Sobyanin noted the importance of teamwork, assistance from the Russian Government, social blocks, the Ministry of Health and Rospotrebnadzor.
“Without teamwork, I think we would not have been able to solve problems as effectively as we have done so far. Here are the chief doctors of our leading clinics, who from scratch, from the very first day, went all this way, when we rebuilt all health care on the fly, rebuilt the entire technology, organization and even the material base. It was all done from the wheels. Selflessly, courageously. And I must say that there were practically no cases when Moscow’s medical workers walked aside, refused to go to the front line, to the red zone, to provide assistance. And, of course, you can evaluate what they did, in one word – heroism. They heroically stood up to protect people, ”the Moscow Mayor emphasized.
As of June 16, 2021, 1,457 patients are being treated at the hospital. There are 108 people on ventilators, 43 people on non-invasive ventilation. Over the past day, 191 people were admitted, 128 were discharged.
Opening of new buildings
Despite the difficulties associated with the COVID-19 pandemic, work continues on the construction of facilities for the second phase of the hospital complex in Kommunarka.
Currently completed construction of ambulance substation buildingsand a children’s infectious disease building, as well as the arrangement of a helipad with a dispatch center for receiving emergency patients from the territory of the TyNAO and other districts of Moscow.
“We usually build them separately, here it is, in fact, built right into the hospital. Therefore, a person, getting here, immediately undergoes a quick diagnosis, surgical treatment, if necessary, and either goes to outpatient treatment or goes to a hospital. This is very fast, it almost doubles the productivity of such hospitals. This is a very important story, “said Sergei Sobyanin.
Currently, the construction of a perinatal center, an outpatient clinic and a children’s building continues.
The 130-bed perinatal center (maternity hospital) is a six-story building with an area of 22.4 thousand square meters. It will become the first obstetric hospital on the territory of the TyNAO. The building is being built according to an individual project, taking into account all modern technologies. There will be an admission department with an emergency operating unit, two obstetric physiological departments for a joint stay of a mother and a child for 100 beds, a pregnancy pathology department for 30 beds, neonatal resuscitation departments for nine beds, anesthesiology and resuscitation for women in labor for six beds, a maternity department with an operating unit for two operating rooms, clinical diagnostic laboratory (express), women’s consultation and the department of assisted reproductive technologies (IVF).
At the moment, the center is 67 percent complete.
The outpatient clinic building is a seven-story building with an area of 8.3 thousand square meters. The building will have a consultative and diagnostic department for 500 visits, an endoscopy department, a bacteriological laboratory, a hemodialysis department and a day oncological hospital with 27 beds. Construction readiness of the building is 50 percent.
The children’s building for 180 beds is an eight-story building with an area of 24.2 thousand square meters. There will be an admission department, a ward pediatric department, a general surgery department, a neurotraumatology department, otorhinolaryngology, neurology, anesthesiology and resuscitation departments, endoscopy, ultrasound, radiation and functional diagnostics, neonatal pathology, neonatal resuscitation, an operating unit for three operating rooms and a day hospital. The building readiness of the building is 47 percent.
The most important object of prospective construction will be a radiation therapy building with 50 beds, designed for 3D and 4D radiation therapy for cancer. There will be a day hospital, a radiological unit and a laboratory for radioisotope diagnostics (with single-photon emission computed tomography), which will make it possible to diagnose oncological diseases at an early stage.
Availability, quality, comfort
The hospital complex in Kommunarka will be equipped with modern medical equipment in accordance with international standards. Three computed tomographs, an apparatus for magnetic resonance imaging, four angiographic and four X-ray units, endoscopic, laboratory and pathological equipment were purchased for the clinic. The latest technology will be installed in intensive care units and 30 operating rooms.
The admission department in the ward building will operate according to the “triage” principle (from the French triage – “sorting”, “selection”). It will be divided into three zones:
– red – shock room, emergency operating rooms, intensive care unit;
– yellow – wards for patients, where help is organized according to the principle of “doctor to patient” (it is not patients who go to their offices, but specialists come to them and carry out all the necessary examinations);
– green – for patients whose condition is consistently satisfactory.
The emergency department will accommodate three emergency operating rooms at once.
The hospital will have the first regional vascular center in the Troitsky and Novomoskovsky administrative areas designed to help patients with heart attacks and acute cerebrovascular accidents (strokes). Modern specialized equipment will make it possible to perform the most complex intravascular surgeries.
The hospital in Kommunarka will become one of six anchor cancer centers with a state-of-the-art laboratory. Patients will be able to receive all types of specialized care – from diagnostics to surgery and radiation therapy.
The first obstetric hospital in the TyNAO will open here with a full range of care for pregnant women and newborns. In addition, the clinic will have urology and oncosurgery departments.
Thanks to the helipad, the hospital will be able to receive emergency patients evacuated from road accidents, man-made and natural disasters.
The presence of simulation classes will allow training not only for hospital staff, but also for medical workers of other medical institutions in Moscow.
One of the main features of the hospital is a high level of comfort for patients: small wards with large bright windows, high ceilings and bathrooms adapted for access by people with limited mobility.
The wards are equipped with multifunctional electric beds and call buttons for medical personnel with signal transmission to the nurse on duty. The modern ventilation and air conditioning system guarantees a comfortable stay, regardless of the vagaries of the weather.
The hospital buildings will be connected by underground and overground passages with navigation.
The clinic will operate according to the concept of pill nutrition – the principle of portioning ready meals in the catering unit, and not in the departments. Food will be laid out in individual portions in high-impact porcelain dishes, and then delivered to patients using transport trolleys.
A canteen will be opened for hospital employees, and rest rooms and dining rooms will be opened directly in the departments.
The adjacent territory will be equipped with a playground and ground parking.
Good transport accessibility of the medical center will be ensured by the Olkhovaya and Kommunarka stations of the Sokolnicheskaya line, opened in June 2019, and, in the future, by the stations of the Troitskaya metro line under construction.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.