In what cases is a private ambulance better than a public one? ambulance service
Paid ambulance Moscow and region. Call in Moscow - 3450 rubles.Commercial ambulance in Moscow - always in touch
Paid ambulance SkyMed LLC is an independent specialized service that provides pre-medical and medical care in Moscow and the region. We are always in touch, you can call the brigade at any day and time of the day.
Despite the fact that calling a private ambulance is paid, if someone needs medical assistance on the way to the client, doctors will provide it immediately and free of charge. In addition to standard services, the company can order:
- ambulance duty on holidays, competitions;
- transportation of patients.
The paid ambulance service includes 20 brigades, among which there are resuscitation teams specializing in neurological, traumatic and childhood diseases. The carriages are equipped modern equipment to provide emergency medical care and resuscitation. Transport, on which doctors of a private ambulance go to a paid call, regularly passes Maintenance which eliminates the possibility of breakage on the way.
High-quality paid ambulance services in Moscow and Moscow region
For all doctors of SkyMed LLC
Very often lately out of funds mass media I heard about the development of private business in our country. About the conditions created for this, about supported projects, successful startups, etc. Is that how things really are? Private security services, private banks, private ambulances medical services. What else can we expect in the future?
The state continues to give into private hands those types of business that, until recently, seemed to be considered under the "hood" of its monopoly. This is the case, for example, in housing and communal services, in the educational sector, the insurance system, in the provision of medical services, and in many other industries. What came of it? In some ways, people began to benefit from this, with something, on the contrary, it became much more difficult. Everyone decides this for himself. But one undoubted plus is still immediately visible - this is the development of private business.
If you look into the same area of medical services: an ordinary ambulance is often in no hurry to come to calls (unfortunately, even emergency ones) to patients. But a private emergency medical service (be sure!) will be at your place within a few minutes after the call. But the road in most cases is exactly the same. The difference is only in the motivation of the staff. Well, in the organization of business, from the point of view of which we will consider this species entrepreneurial activity.
What is a private emergency medical service
I think that it is necessary to recognize that the health care system that we inherited from a “different” country is on the verge of decline. Private medical clinics have the most modern expensive equipment that meets world standards, private medical institutions employ more qualified personnel who are more responsible in their direct duties, as I said, even private ambulances arrive at incoming calls faster. I am writing all this not as a reproach to those people who work selflessly in public institutions. Thanks to them for their work!
In principle, a private structure is practically no different from a municipal one. It's just that here a noble goal is to help sick people, saving lives is organically intertwined with a more prosaic one - making a profit. By the way, almost a third of private medical institutions belong to people who are very far from medicine. It is not necessary to have a medical education to organize such a business.
Private ambulance services medical care look something like this (the difference in different institutions is negligible):
- Providing medical consultations, examination of patients, diagnosis.
- Provision of emergency medical care on the diagnosis of the disease.
- Transportation of the sick who are unable to move independently.
- Observation of persons requiring vigilant medical attention.
- Carrying out procedures aimed at detoxification (withdrawal from alcohol binge, help for drug addicts).
- Servicing public events.
- Provision of additional medical procedures in the emergency center (conducting an ECG, ultrasound, appointment with specialist doctors, examination of tests, some types of therapeutic massages, and etc.).
Who uses private ambulance services
How to determine target audience of your business can be read. The main clients of the private "ambulance" are people with high and middle incomes. This also includes those who are dissatisfied with the quality of services provided by the state structure. Plus those citizens who do not want to disclose their illness (this category includes alcohol and drug addicts).
And of course, people who want to be sure of the quality of medical services turn to "private traders". Among other things, a private emergency medical service may have contracts with many private clinics, so the patient himself can choose which “hospital” to take him to: private or public. Now let's move on to the "technical" aspects of organizing a business.
Obtaining a license to carry out medical activities
Medical services are a very scrupulous "field" for doing business, so you need to prepare for thorough checks by regulatory licensing authorities. Form of doing business in this case only an LLC is acceptable (how to register a company with limited liability can be found).
Obtaining a perpetual license to provide medical services in our country is carried out by Roszdravnadzor. The required package of documents includes:
- Licensing Application.
- Statutory papers of LLC, certificate of registration, and other documents relating to organizational and legal activities.
- Certificate, confirming the right to own a room for an ambulance center.
- Register of medical special equipment, inventory, and tools, and certificates of conformity for all this.
- Copy of conclusion issued by Rospotrebnadzor.
- Documentation confirming education, qualifications, etc. for each employee.
- Proof of ownership to the car room.
- Payment receipt state duty.
Complete list of all required documents, requirements for equipment, maintenance, and operation of medical institutions can be found in the resolution "On Approval of the Regulations on Licensing Medical Activities" and in the SanPin document "Hygienic requirements for the placement, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals".
Organizational and technical aspects of a business idea
Without going into details of the purchase of specialized medical equipment, installed at the stations of private ambulance medical centers, I will tell you about the minimum configuration of the fleet of private ambulance teams. You can start your own business with only one car in the garage, with the possibility of quickly re-equipping it for a specific call to a patient with a specific diagnosis.
But the most best option- three cars: an ambulance, a pediatric one, and for line crews, designed for general calls. The "standard" set of equipment for each ambulance contains:
- Apparatus for artificial lung ventilation.
- Mandatory defibrillator.
- Modern heart monitor.
- Perfusor (electronic syringe pump) in the amount of two or three pieces.
- Oxygen machines.
In addition to special equipment, you need:
- Mini-refrigerators for medicines.
- Safes for storing medicines subject to strict accounting.
- walkie-talkies which must be installed in every car.
A complete list of tools can be viewed in the "List of Equipment for the Mobile Ambulance Brigade".
Working staff of a private ambulance station
Usually, the work schedule of a private medical service does not differ from colleagues "in the shop" in state system health care: three days later. In addition to physicians: medical specialists, nurses, paramedics, etc., who, by the way (this happens most often) can combine work in public medical institutions and private medical institutions, you will need:
- Drivers with excellent knowledge of the city (the best option is candidates who worked in a taxi or in an ambulance).
- head physician. This position requires knowledge of business administration, managerial abilities and extensive experience in this field.
- Accountant. Without him, nothing.
- Dispatcher that receive and record calls. Junior medical staff, students of medical universities are ideal for this position.
- Nurses and nurses.
Private ambulance: legal issues, license, equipment, personnel, "kitchen".
Private ambulance - a structure of round-the-clock emergency medical care in case of emergency on the way to a medical institution or directly at the crash site.
This service is a popular way to enter the medical business. The explanation is simple - the well-functioning system, which was inherited from the USSR, is declining, and the emerging middle class and elite cannot satisfy their needs in the public sector. Private ambulance began to develop from the moment the entire private practice, from about 95-98 of the last century, but everything was legally formalized only in 2007, with the adoption of the law on licensing medical services in the final reading.
There is no key difference from the state SMP, but due to the excellent material and technical base, high motivation of employees and less workload on the average crew during the day, the patient can count on more individual approach, and in case of emergency, gets access to modern resuscitation equipment, which is not always realistic in state structure. In addition, if the patient's funds allow, the ambulance can act as a district or family doctor, as well as provide consulting services - in fact, the client receives a large package on one "hot phone".
Legal points
Depending on various situations, the stage of formal creation of an ambulance can last up to six months. Most often, these are bureaucratic moments, for example, the license is signed personally by the head of Roszdravnadzor, and for it decisions of Rospotrebnadzor, a sanitary and epidemiological conclusion on the strict compliance of works and services, analyzes, physical factors, water quality, washings for sterility - all this can last quite a long time.
The only option for the necessary tasks of an LLC is entity, Limited Liability Company. An LLC can recruit employees only after obtaining a license.
Optimal taxation - STS income minus expenses, 15%. OKVED - Health and Social Service Delivery, activities in the field of health, paragraph 85.14.4, activities of emergency medical institutions.
The method of settlement with patients is only receipts, the cash desk in the conditions of the SMP carriage is not possible, receipts must be registered in a special journal for forms strict accountability.
How to get a private ambulance license
Licensing takes place in accordance with the requirements of Decree N 30 "On Approval of the Regulations on Licensing Medical Activities" dated January 22, 2007. Engaged in licensing papers Roszdravnadzor, perpetual license. It is necessary to collect a package of documents and pay the price for services and fees, in case of a positive decision.
- A copy of the charter of the LLC and registration certificate.
- A copy of the conclusion from Rospotrebnadzor.
- Lease agreement or property documents.
- Lists of medical equipment and certificates of conformity.
- Papers for each employee, excluding the driver and accountant - a diploma, postgraduate training, internship or residency, certificate and category assessment.
- Application for consideration of the case and a check, for the services of consideration and work on your issue.
Base room for cars
The SanPiN requirements for the footage of the premises and the mandatory bathroom must be met already at the stage of renting the premises. SanPiN 2.1.3.1375-03 "Hygienic requirements for the placement, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals"
We need a base that will combine the functions of a logistics center, a garage and a rest room, later we can expand the range of services, introduce several stationary wards and a manipulation room, although it is best to do this at the opening stage in order to form a favorable opinion about the brand. Also there will be help desk, which also needs to allocate a separate office - it will work with clients and orient the crews, these employees also need a place to relax.
Equipment
It is quite possible to start with even one special car, especially considering the prices, about 900,000 rubles for the Gazelle chassis and 2 million for the Mercedes chassis. You can transport patients and go to single calls, gaining a client base. But desirable minimum: three cars- two linear and pediatric, one specialized cardio and resuscitation.
Of the equipment, they usually put on each resuscitation kit (oxygen, manual ventilator, perfusor, defibrillator and heart monitor- its cost may be different, depending on the manufacturer, but preferably German and Italian manufacturers, if the budget allows). This is necessary for logistics purposes, sometimes a specialized team may be on call, and resuscitation should be carried out by an ordinary linear one.
Technique and PBX with several channels, walkie-talkies for cars and the cost of registering them - also need to be taken into account. The initial costs of medicine refrigerators, list A safes, and, in fact, the medicines themselves can be quite serious. Acquainted with necessary equipment and consumables can be in the "List of equipment of the mobile team" ( appendix 1.13 of the order of the Ministry of Health Russian Federation No. 100 dated March 26, 1999).
Staff
- Drivers who must know the city perfectly - best of all, with experience in a state ambulance or taxi.
- Accountant- it can be hired before licensing, there will be enough work, especially in terms of reporting.
- Chief Physician- an administrator, director and a person who controls all flow issues, with experience in managerial work.
- Crews- usually a doctor and a paramedic, preference for men who can bear the patient, pull him out of the car. Usually, there must be an obstetrician, a surgeon and a cardiologist, and a narcologist is also often taken into the team, calls for withdrawal symptoms are not uncommon. Crews are completed on the principle of a day - three for each reanimobile.
- Dispatching service- usually junior medical staff who can adequately assess the situation and decide on the need to leave a particular team and, in general, on the advisability of calling.
- Sales Manager- a person working with private insurance companies, with a corporate client, negotiating with the city authorities for the conduct of city holidays and sporting events, offering services to private individuals, for monitoring and managing patients.
To start work, you usually need a fairly large team - from 20 people, in the case of 3 cars, in addition, you will need a nurse and a mechanic who can fix any problem in the car in emergency mode.
Private ambulance services
Usually, following the letter of the law, a private ambulance provides the following services.
- Conducting remote advisory assistance and monitoring of seriously ill patients.
- Providing emergency medical care as indicated.
- Transportation of bedridden patients and people who, according to indications, require constant medical monitoring.
- Detoxification activities at home - withdrawal from hard drinking and various withdrawal symptoms.
- Call any narrow specialist at home, for guidance or consultation.
- Servicing corporate events and holidays.
- Ancillary medical services at the base of the station - massage, exercise therapy, various courses.
- The health insurance segment is a promising and broad topic that is beyond the scope of this review.
The target audience services - wealthy people who are dissatisfied with the quality of public ambulance services, people who need supervision and monitoring (lying and chronically ill). Also, these are young people with drug or alcohol addiction who do not want publicity or feel the need for medical supervision, a corporate client who needs to provide adequate medical care for mass events, the middle class using insurance medicine.
How does the private ambulance structure work?
To call a private ambulance, you need to make a call to the dispatcher - anyone who wants to can call it, not only a client of a private clinic and using an insurance policy. After receiving an incoming call on a landline phone with a conversation recording function, the dispatcher conducts initial work with the patient - interrogates him about symptoms, writes down the address, enters it into a strict accounting log and into a special computer program. Payment is made after medical assistance is provided., since the "check" can "float" depending on the drugs used. It is worth paying attention to the fact that the standard package usually includes diagnostics, including a cardiogram.
After assistance, the patient is referred to the hospital according to indications. Usually, emergency patients and people who are unconscious end up in emergency hospitals and specialized departments, while chronic patients have a choice between private medicine and public care. If the client uses insurance medicine, the desired place of hospitalization is usually indicated in the certificate, even if the patient is unconscious, one can easily navigate.
Reception department indicates in the crew's itinerary the time of arrival, a preliminary diagnosis and signs that the patient has been admitted to the hospital. This is where all relations between a private ambulance and a hospital facility end., the hospital is not liable either to the private owner or to third parties, just as private traders are not liable after they have accepted the patient.
- Paid ambulance services for adults and children
- Resuscitation medical care
- Transportation of patients in serious and extremely serious conditions by reanimobile
- Hospitalization of adults and children in the GMS Clinic hospital and any other hospitals in the city of Moscow, both in city and departmental
- Transportation of patients from home or from a medical institution to various medical centers and clinics for research
- Ambulance teams on duty at sports competitions, holidays and public events
- Air ambulance (air ambulance, ambulance helicopter)
- Transportation of patients from the Moscow region, other regions and the region to the GMS Clinic hospital and to hospitals in the city of Moscow, both to city and departmental
- Evacuation of sick and injured people from other countries to Russia and from Russia to other countries
Why choose GMS Clinic?
Currently, there is an alternative to the state ambulance service - paid.
Such services are created at private clinics, they are equipped with the latest medical science and technology, staffed by highly qualified resuscitation doctors with extensive experience in saving people in a variety of situations. All of them went through a harsh school, working in the rescue and assistance services in emergency situations, all of them withstood a rigorous selection process. The best of the best, they are the guarantors that everything possible will be done to save the patient.
This is exactly the ambulance service we have at GMS Clinic.
GMS Clinic Ambulance Capabilities
- Teams of resuscitation specialists of our paid ambulance go to the call on Mercedes-Sprinter resuscitation vehicles, which have all the equipment necessary for the urgent start of treatment, even before the patient is hospitalized.
- Mobile equipment includes ventilators, defibrillators , electrocardiographs, portable diagnostic equipment and much more.
- All vehicles are equipped hydraulic system Systra, the purpose of which is to eliminate shaking when driving over rough terrain.
- Our paid ambulance arrives at a call in Moscow in a minimum time- We have substations in all administrative districts, and their number is constantly increasing.
- We are ready to respond to calls made not only from Moscow, but also from any other, the most remote region of Russia, the CIS countries and abroad.
- GMS Clinic also has the ability to hospitalize patients with acute heart failure, strokes, and traumatic brain injuries in specialized departments of leading medical institutions in Moscow.
