Problems of early teaching of a foreign language. Methods of early teaching foreign languages

Provides for the introduction of electronic sick leave certificates. In the "pilot" mode, electronic sick leave has been used in some regions since 2014, and now they will spread everywhere. What will happen to the paper sick leave, and what innovations are waiting for employers from July 1?

Transition to electronic sick leave

Today, sick leave is issued on a secure paper form. Only a doctor of a licensed medical organization can issue a sick leave in case of illness of an employee, for caring for sick family members, as well as for pregnancy and childbirth. Having returned to work after illness, on the same day, the employee presents the sick leave to the employer. The employer, in turn, is obliged to calculate and pay the employee temporary disability benefits, and if the FSS pilot project is operating in the region, transfer the sick leave and the necessary package of documents to its branch of the Fund for direct payment of benefits.

From 07/01/2017, medical organizations can issue a sick leave in in electronic format, but this does not cancel the effect of paper disability certificates. New edition of the law of December 29, 2006 No. 255-FZ requires obtaining the written consent of the employee for this in order to issue an electronic sick leave, provided that the medical organization and the employer are participants in the system for the exchange of information for the formation of electronic sick leave (clause 5, article 13 of law No. 255 -FZ as amended on 05/01/2017).

From July 1, electronic sick leave will continue to be issued in accordance with the Procedure for issuing sick leave certificates (Order of the Ministry of Health and Social Development dated June 29, 2011 No. 624n). The employer should also independently enter data in the section "Filled in by the employer".

To be able to use the electronic sick leave in your work, you need to create Personal Area insurer on the FSS website. Through your personal account, you can view the electronic disability certificates of your employees, see when and in which medical institutions they are open and closed, when the employee goes to work, you can print out sick leave certificates, fill out your part of the form, upload a file to create registers for the Social Insurance Fund, track payment of benefits by Social Insurance under a pilot project, etc.

How will the electronic sick leave work?

If the insurer-employer has become a member of the electronic interaction system, then from 07/01/2017 he will have to work with electronic sick leave according to the following scheme:

The employee gives written consent to the issuance of sick leave in electronic form.
The medical organization enters the employee's sick leave data into the program.
Doctor assures electronic sheet incapacity for work with its electronic enhanced qualified signature, the medical organization also certifies the sheet with its signature.
A certified sick leave is sent by a medical institution to a single information system Social Security.
The employer electronically fills out his part of the disability certificate through his personal account.
Where there is a pilot project, the electronic hospital FSS pays directly, based on information entered into the system by the medical institution and the employer. In other regions, the employer receives information about the sick leave in the personal account of the insured, and according to the data received, calculates and pays benefits against insurance premiums on social insurance.

Electronic sick leave – benefit for all

The transition to the electronic form of sick leave should combine information on periods of disability for all employees into a single database. The benefits of innovation are obvious, here are some of its advantages:

saving not only money on the production of paper forms, but also the time spent on sending paper documents,
simplifying the procedure for filling out sick leave forms, reducing the number of errors when filling them out,
saving time for doctors and reducing the volume of paper workflow,
the ability to check whether the electronic sick leave is correctly drawn up, and, if necessary, request corrections without a second visit to the medical organization by the employee - just go to the "personal account" of the insured,
the employer gets the opportunity to track when an employee who did not go to work opened a sick leave and when he should go to work,
the employer is not required to send paper sick leave to the FSS,
electronic sick leave cannot be lost or destroyed,
such a document cannot be forged, which means that it does not have to be checked for authenticity,
It is easier for the FSS to control and analyze costs, as well as to eliminate cases of fraud.

At the same time, the employer is still free to choose the form of workflow, and may not switch to electronic sick leave. The paper form of the certificate of incapacity for work and after 07/01/2017 remains relevant along with the electronic one.

Recently, a friend of mine told me that he was denied the issuance of an electronic sick leave in a hospital. My friend regarded this act as a violation of the law, but you need to understand that at the moment not all hospitals are connected to the electronic database, so the refusal could be quite legal.

Below we will learn how to view the electronic sick leave and what programs and websites are needed for this.

An electronic sick leave certificate (electronic card) is a special certificate that confirms the fact that an employee has been treated for any illness, due to which the employee could not certain time perform their job duties.

The e-mail also applies to cases of pregnancy, quarantine and care for third parties who are members of the employee's family. This certificate is opened by the employee at the doctor as a result of an examination, which confirmed that the person really needs treatment.

Previously, hospital certificates were issued only in paper form, but in 2019 this document can also be issued electronically at the request of the patient (however, a paper document can also be issued).

For all your key features electronic is no different from paper accounting, with the only exception that it is issued, stored and transmitted to various institutions in electronic form. To date, it is possible to issue an electronic card not in all hospitals, but only in those that are connected to the Social Insurance electronic system.

In general, the email is formatted like this:

When an employee contacts a hospital, the doctor in a special FSS program creates a new sick leave in electronic form. All information about the treatment is entered in this document.
Upon completion of treatment, the doctor informs the employee of a special electronic account number, and also sends a copy of the email to the Social Insurance program.
The recovered employee sends an electronic account number to the accounting department.
The accountant, using the employee number, finds an electronic copy of the email in the database of the Social Insurance system and fills out his part of the certificate. Then the accountant sends an email to the FSS.
After receiving the document, the FSS calculates and pays all the necessary benefits.

How can an employee view an email?

An electronic certificate can be viewed by both the employee and the employer. At the same time, it should be borne in mind that this document is confidential, therefore, some items of the electronic mail may not be visible to the employer (for example, usually the employer does not know the type of disease that his employee had).

In order for an employee to view an email, you need to use the following algorithm:

Register on the State Services Portal according to general algorithm(go through the initial authorization using your login and password, enter your data in special fields, go through authentication in any way convenient for you, and so on).
After that, open the official portal of the Social Insurance Fund and select "Personal Account" or follow the direct link http://cabinets.fss.ru
Select the "Insured person's account" item and enter the login and password that you use to enter the State Services portal.
If you entered your login and password correctly, then in this case a special window will open, which will list all the information about the services that the FSS provided to you (mostly these are various benefits - for disability, childbirth, unemployment, and so on). You can also find and print a copy of your e-sheet here.
Please note that through the insured person's office you can also find out the ELS number, which you must provide to the employer in order to receive benefits. Therefore, if you have lost the number that the doctor gave you, then through the personal account of the FSS you can find out the lost number. It should also be understood that through the personal account of the FSS, you can only view and print the e-mail, and you cannot make any changes.

How can an employer view an email?

Let's now find out how to find an email for an employer. To date, all large and medium-sized employers are obliged to connect to a special database of the FSS, with which you can keep track of electronic sheets.

At the same time, it must be understood that if an employee registers an e-mail, the employer is obliged to fill out his part of the sheet using a computer after the employee of the organization is discharged from the hospital.

The electronic system also allows the employer to receive a compensation payment from the FSS for the employee, and the amount of financial assistance in the case of paper and electronic registration does not differ. In general, the procedure for filling out sheets and receiving compensation is as follows:

The employer enters into a special agreement with any regional office FSS to provide access to the database.
The employer registers in a special FSS program called EIIS "Social Insurance". Accounting and execution of all electronic and paper documents is carried out in this program.
The employer undertakes to train the accountant at his own expense so that he learns how to use the Social Insurance program. The law also allows you to hire an additional accountant who already owns the rules for using the program.
An accountant after completing the training must receive in some public institution(for example, in the MFC) a special electronic signature that will confirm the electronic certificates of the employee's treatment. All office expenses for registration must be borne by the employer.
The layout is ready. If any person has opened a certificate for undergoing treatment, then upon completion of the treatment, the employee is obliged to inform the accountant of a special code, which is the identification number of the certificate. After that, the accountant, using the Social Insurance program, finds the employee's sheet and fills out his part of the certificate. Then he calculates and pays compensation for treatment within no more than 10 days after receiving the certificate, and also submits information about the sick leave to the FSS - after a while the employer receives a monetary compensation for the treatment of a person from the FSS.

Conclusion

Now you know where to look for electronic sick leave for an employee and employer. Let's summarize. If the hospital and the employer are connected to the Social Insurance database, then in this case the employee can issue a sick leave in electronic form.

In all key characteristics, an electronic card is no different from a standard paper accounting document.

The employer can view and fill out his part of the document using the FSS Social Insurance program. The employee, in turn, can find all his e-mails through the FSS website, and in order to gain access to this site, he needs to register on the State Services portal and go through identification.

Law No. 86-FZ of May 1, 2017 has already been signed by the President of the Russian Federation, which means that from July 1, 2017, electronic sick leave will be opened by medical specialists from all licensed medical institutions. The rule applies to common cases diseases, and when caring for sick relatives or in the case of a decree.

Note! A person has the right to choose which document to receive - sick leave in electronic form or "on paper". The first format is valid only if there is consent from the patient in writing. Employers are required to accept both versions of the disability certificate, which have equivalent legal significance.

The general mechanism for issuing a sick leave in electronic form looks like this:

A sick person seeks help from a doctor.
In the case of issuing an electronic sick leave, the patient gives his consent.
The doctor generates an electronic sick leave sheet (ELN) through a special database of the FSS - information is available both for the medical institution and social insurance, and for the employer and employee.
Through a personal account, the company enters data into its part of the form.
The document is certified by authorized persons with an enhanced EDS - first, the approval is performed by a medical organization represented by a doctor, then by the employer.
The form is sent for a control check to the FSS.
In case of successful verification, the employee is paid the amount of the accrued allowance.

The features of filling out electronic sick leave in 2017 remained unchanged - the procedure for entering data is prescribed in Order No. 624n of 06/29/11. The current form of the document was approved by Order No. 347n of 04/26/11. The form, as before, consists of 3 main sections filled by the employer and honey. institution.

When will electronic sick leave be introduced?

Draft law No. 27110-7 on electronic sick leave in 2017 was initiated by the Government of the Russian Federation and finally adopted in the third reading on April 14, 2017 in Resolution No. 1372-7 of the State Duma. Changes are made to the stat. 13 of Law No. 255-FZ of December 29, 2006 and stat. 59 of Law No. 323-FZ of November 21, 2011

It was originally planned that the electronic sick leave certificate would work from January 1, 2017, but after the bill was considered in the first reading, improvements were made to it on the subject of double certification of the electronic form of the enhanced EDS - from the medical side. organization and by the physician treating the patient. In addition, additional amendments were made regarding the form of a person's consent to receive the form not in paper format, but in electronic format. In connection with the editing of legislative innovations, only from July 1, electronic sick leave will come into force definitively.

However, the idea itself is not considered new, similar system registration of disability certificates was massively launched in 2015-2016 in some territories of Russia - Moscow, Belgorod, Tambov, Samara and Astrakhan regions, the phased introduction continued in Novosibirsk region and Crimea. The abolition of ordinary forms for this moment will not happen: officials are planning a soft transition to a modern format, but nevertheless, the gradual computerization of hospital workflow will ultimately save all interested parties from unnecessary paperwork.

Electronic sick leave in 2017 - regions

An experimental transition to electronic sick leave as part of a pilot project was launched back in 2014. Among the pioneers are the regions mentioned above, where new technologies were successfully tested. Over the past 3 years, the system has shown itself to be beneficial, and in 2017 it is planned to finally complete the implementation of the new Law No. 86-FZ through a nationwide transition to electronic registration of periods of illness.

Undoubtedly, ELN has many advantages. This is, first of all, the elimination of the likelihood of errors and inaccuracies when filling out, minimizing the cases of forging forms, reducing paperwork. Another important difference between electronic forms and conventional forms is the concealment of the diagnosis - the cause of the disease is not indicated openly in publicly available information. However, if the patient categorically does not want to draw up a hospital form in electronic format, no one has the right to force him to do so. Moreover, paper documents continue to be valid with full legal force and allow you to receive cash amounts of accrued benefits.

Electronic sick leave - how it works for the patient

To issue a certificate of incapacity for work, as before, the patient must first of all contact a doctor at an accredited medical organization that has the right to write out sick leave. The provision of qualified medical care is accompanied by the preparation of a sick leave form, which is formed in a special electronic system and, after being certified by an enhanced signature (EDS), is transferred to the general insurance database.

The patient no longer needs to run around the offices, wait in lines in order to collect various signatures of responsible persons. You also don’t have to worry about how the document is filled out - this is very important, because the presence of errors and inaccuracies leads to a refusal to assign the amount of benefits. All that is required is to obtain an electronic number, which, upon entering the service, is reported to the employer's administration. Further actions the enterprise takes over - checks the information, fills out the section for calculating benefits, transfers its part of the data to the FSS.

The transition to work on the ELP relieves employees of organizations from the need to notify the administration of companies about the fact of the disease. If a person does not come out on his workplace, a personnel officer or another authorized person of the employer can enter a single system and receive information about the opening of a sick leave. For its part, an individual, having access to the database, can easily check the correctness of the calculation of benefits.

Electronic sick leave - how it works for personnel officers

For the appointment and subsequent payment of benefits, the employee must present a certificate of incapacity for work to the personnel department. The issuance of an electronic sick leave is accompanied by the entry of data on the period of incapacity for work into the general FSS database, available to both enterprises and individuals. In order to work effectively with the electronic system, the employer needs to prepare in advance and register a personal account on the official website of Social Insurance. This reflects notifications about the opening of new hospitals and fills in the section intended for organizations.

Functions of a personal account:

Tracking the movement of ELN, printing documents.
Entering data in the employer section for calculating benefits.
Export of information for the subsequent upload of a file in order to send it to the FSS.
Search and work with data on previous ELS, including the amounts of benefits assigned and paid.
Document flow with Social Insurance, including filing applications for admission.
Other functions.

Note! Enterprises have the right not to register on the FSS website and not to open personal accounts: today the legislation of the Russian Federation does not contain fines for such actions. But in this case, citizens will be able to issue only paper certificates of incapacity for work, which are also relevant in 2017.

The conclusion is that the legalization of electronic sick leave in 2017 continues throughout Russia, but paper forms will continue to function as before. Pilot project in certain regions The Russian Federation has demonstrated the effectiveness of the new system by reducing the risk of loss, forgery or damage to documents, as well as more rapid exchange of data between the patient, honey. institution, employer and territorial department of Social Insurance for the purpose of the fastest appointment and payment of disability benefits.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

The Russian government approved new project law on the introduction of registration in electronic form of sick leave. To date, the draft law is working in a pilot mode in 3 regions, where all its pluses and minuses are already visible, it will gradually be introduced to other regions. The goals of the innovation are that electronic sick leave sheets will relieve accountants and medical workers, as well as make life easier for patients.

Electronic sick leave - law 2018

Already accepted State Duma. E Since July 1, 2017, the project has been phased in throughout Russia. Gradually, according to the goal of the project, electronic sick leave sheets will replace paper ones from circulation, but at first, paper forms at the request of the patient will remain.

Electronic sick leave - project goals

The goals of the project are to combine information on disability certificates into a single database, simplify the interaction of structures, as well as economic goals. In order for an interested person to receive information about sick leave certificates issued to a particular citizen, a special automated system will be introduced.

When issuing a certificate of incapacity for work, the doctor will certify it with an enhanced qualified digital signature. Access to the common database will be given to the Social Insurance Fund, medical institutions and employers, who will only have access to information about their employees. A big plus is that organizations no longer have to send each other megabytes of information or tons of paper.

How will electronic sick leave work?

The procedure for obtaining a certificate of incapacity for work, after the system is introduced, will look like this: The patient goes to a medical institution for a qualified medical care and calmly treated. At the end of treatment, he receives an electronic number from the doctor, which he needs to inform his employer when he goes to work. He has access to a system in which he can check the availability of information. In turn, the FSS authorities are also already aware of the employee’s disability, since they receive information at the time of discharge.

That is, for example, by going to the FSS website in your personal account, the employer can see:

How many and which of its employees are ill;
In which medical institutions are sick leaves open;
Since when were they closed?

If the employee did not go to work, the accountant on the same day checks through his personal account whether a sick leave was opened for him. And the employee does not need to additionally confirm his absence due to illness. Also, each employee through his personal account can see the data on accrued benefits and check their correctness manually.

Who will fill out electronic sick leave sheets?

Traditional decoration paper forms takes over the junior medical staff. Electronic sick leave is the same form that needs to be drawn up in a special program. The doctor will enter the necessary data into the form, save them, confirm with his digital signature, and send the information through a centralized system to the FSS.

Electronic sick leave - pros and cons

To date, more than 140 polyclinics across Russia have started working in test mode with the draft law. More than 2.6 doctors began to work with the system, whose workplaces are connected to it. The project allows for more evaluate all the pros and cons of the law, to understand whether the goals have been achieved.

The advantages of implementing the law include the absence of any interdepartmental red tape:

An individual registrar at a polyclinic does not need to fill out a strict reporting form;
The patient does not need to run around the medical facility for signatures;
The accounting department does not need to verify the correctness of filling out the form and send it to the FSS;
The employer is protected from possible penalties due to the acceptance of incorrectly completed forms.

After the project is introduced, it will become extremely difficult to lose or forge a document. One of the big advantages of the project is that electronic sick leave certificates will bring real savings to the budget. The introduction of the law in mid-2017 has already saved about 12 million rubles due to the rejection of paper media, but over the period from 2017 to 2020, it will be saved in the budget from 42 million rubles, which is a big plus.

Of course, there are certain disadvantages that currently hinder the widespread implementation of the law. They are much less than the pros.

The cons include:

The technical unpreparedness of many medical institutions, especially rural ones, to switch to new system(a big minus is the lack of computers);
The unpreparedness of personnel, especially the older generation, for such radical changes in work;
It is necessary not only to establish a system in each medical institution, but also to ensure that it can work without failures;
Also, the disadvantages include the fact that many medical institutions today work on disparate systems from different software manufacturers that cannot be combined.

There is another disadvantage that needs to be mentioned. Not all employers, especially in the small business segment, have expressed interest in the new workflow. For these cases, the law stipulates a compromise solution: the patient can ask the medical institution to provide him with a sheet on paper.

Since July last year, sick leave can be issued both in paper and electronic form. But only if the patient agrees to this, and the doctor will have the technical ability to issue a digital document. After that, the employer connected to the Social Insurance system will only have to supplement it necessary information and pay the employee disability benefits.

The form of the disability certificate has remained unchanged since 2011. However, since last year, the method of issuing it has changed - they no longer issue it exclusively on paper form. From July 1, 2017, patients of hospitals and polyclinics began to receive electronic sick leave certificates. This innovation, as an experiment, was first mastered by individual regions, among which was Moscow. The pilot project was recognized as successful, and now electronic sick leave can be issued in dozens of regions. Only the insufficient material and technical base of medical institutions prevents the innovation from becoming ubiquitous.

By introducing an electronic sick leave, legislators pursued three main goals:

simplify the interaction between the medical organization, the employer, the sick employee and the FSS;
reduce the circulation of paper documents;
increase control over the authenticity of disability certificates, make their issuance transparent.

Despite the fact that the registration of "digital" sick leave is a legally permitted medical public service, a doctor will be able to write them out only if three mandatory conditions are met:

The employee's employer registered on the official departmental website of the FSS and opened a personal account there.
The medical institution has connected to a special information system for issuing electronic disability certificates.
The patient issued and signed the consent to issue a digital document.

Government Decree No. 1567 dated 12/16/2017, which approved the instructions for interaction between the insured (employer), the insurer (FSS) and the medical institution.

Order of the Ministry of Health and Social Development No. 624n dated 06/29/2011 on the procedure for issuing sick leave.

How it works

Electronic hospital document medical institution opens as follows:

The employee, having visited the doctor's office, informs him of the desire to take an electronic certificate of incapacity for work (briefly - ELN). In doing so, he:
- informs the doctor about the participation of the employer-insured in the information exchange of information necessary for the formation of "digital" sick leave;
- fills in and signs an application for consent to issue a document in electronic form;
- presents SNILS or reports its number.
The doctor sends an online request to the information system ("Social Insurance") to assign a number to the document. Having received it, the health worker, using specially developed software, fills in the ELS. The sick leave number is reported to the insured person (patient).
Having completed the steps to issue an electronic sick leave, the doctor certifies it with a digital personal signature.
The medical institution certifies the generated document over the network with its own signature and sends it to Social Insurance.

If the employee’s illness has dragged on and an extension of the disability certificate is needed, it, as necessary, is supplemented with new entries. After the closure of the sick leave, an appropriate entry is made in the ELN, the document is certified by the digital signature of the doctor and the clinic, and then sent to Social Insurance.

This service is provided to patients of medical organizations free of charge. All information is transmitted through special secure channels, which are considered inaccessible to someone else's eyes or data correction by an unauthorized person.

Actions of personnel officers upon receipt of ELN

Having learned the number of the electronic certificate of incapacity for work, the employee informs his employer. According to it and the SNILS number of the employee himself, personnel officers or accountants electronically request sick leave data from the FSS. In order for it to be displayed on the screen, you must click on the "GET LN" button.

Important note! The employer gets access to the employee's digital sick leave only after the document is closed by a medical organization. He will not be able to view the current ELN.

When the employer's representative receives electronic document, he enters the missing information into it, and corrects if something is filled in incorrectly (he sees a message about this inside the system). For him, the program has an eloquent tab: "Filled in by the employer." There he, in particular, makes:

the name of the company where the insured person works;
a part-time worker or the main employee is the owner of a citizen who has been issued a sick leave;
his TIN;
surnames with initials - the head of the company and the chief accountant;
the average salary of the insured employee and his length of service;
period of disability;
date when he started work, and other information.

Based on the data entered, the disability benefit due to the employee is automatically calculated by the program. The employee receives a sick leave payment, and data on its size are reported to the insurer - to the FSS.

Advantages and disadvantages of electronic registration

On the one hand, reducing paperwork and high degree reliability of ELN are its undeniable advantages over paper counterparts. However, the disadvantages of this method as long as it's enough.

Table 1. Advantages and disadvantages of issuing sick leave in electronic form

*Advantages of ELN*	*Cons of ELN*
Data about the owner of the ELN are entered once and do not require re-entry, which frees up the doctor's time to communicate with the patient.	It is not yet possible to fill out and issue electronic certificates of incapacity for work if the doctor is called to the patient at home. Probably, a special gadget will be developed in the future.
Such sick leave cannot be spoiled, which on a national scale leads to significant savings.	New technology is poorly absorbed by older health workers and employees who are poorly versed in computer programs. Its implementation requires their additional training.
Electronic LNs are much more difficult to fake - this requires high technical literacy, special knowledge and hard work.	Possible virus attacks, after which the data stored in the system can either be completely destroyed or changed to incorrect ones.
Fewer unintentional errors are allowed in benefit calculations and are easier to check and correct.	Connection to unified system"Sotsstrakh" will require additional financial investments (acquisition of computers, software, training events, etc.).
There is no need for numerous checks by the insurer.	The doctor's inept handling of the program, freezing and other problems with the equipment may not save time, but, on the contrary, make visits to specialists even longer.

Will the paper version remain?

If you do not look into the very distant future, it is safe to assume that the usual paper sick leave will serve the Russians for quite a long time. Their forcible non-alternative introduction can hurt the pocket of small businesses, when, for example, a company consisting of 3-5 people will be forced to buy expensive equipment and incur other expenses only for the whim of the state.

Recall that under the current legislation, organizations employing less than 25 people are not required to keep records in electronic form at all. And this rule also applies to sick leave reports.

Low equipment medical institutions in many regions of Russia, the transition to exclusively ELN will also slow down. In the foreseeable decades, doctors are likely to retain the skill of issuing disability certificates on paper forms.

The video tells about other advantages of the electronic sick leave and the procedure for issuing it: