the overhaul and modernization of the buildings of the city clinical hospital (GKB) Botkin plan to complete by 2023. Work is included in a large-scale program of development of health care institutions of the capital, pursued by the Moscow Government.
According to the Mayor, each of the buildings will be transformed into a modern high-tech clinic. You have to put a lot of effort, in particular to develop technical requirements and project documentation. The builders set the task to speed up repairs.
“by the Way, the fight against COVID we learned faster in this regard to move, so repair of these buildings, I think, will take, well, maybe a little more than six months. Although in fact, here there is a new building,” he added.
In connection with the improvement of the situation related to the spread of coronavirus infection in urban hospitals to resume provision of routine care. This is all necessary. Botkin hospital is a leader in terms of planned care.
“pent-up demand for elective surgery is very big among Muscovites, because the question is not even that we limit the visits to medical institutions, — they, of course, were beware to go to the hospital, a complicated surgery postponed as long as possible. But indefinitely to postpone it is impossible, therefore, your task is to provide the necessary assistance Muscovites”, — said the Mayor.
During the pandemic coronavirus Botkin hospital has continued to offer emergency assistance to the sick, especially oncological, nephrological, hematological profiles. The doctors of the clinic lay a huge burden with which they coped. March 2020 at the hospital treated more than 23.5 thousand patients, have performed 11 surgeries.
a Temporary coronavirus hospital 125 beds deployed in building # 21. Over 750 patients have undergone treatment there, and the doctors performed 56 operations. The reduction in the incidence COVID-19 allowed us to make a decision about the gradual curtailment of coronavirus patients. Next week will be closed and coronavirus hospital at the Botkin hospital.
“We have restored the provision of essential surgical care, and to date, 40 per cent of the plan of operations already carried out. At the end of July we plan to come to former level”, — said the chief doctor of the Botkin hospital Alexei Shabunin.
However, the on-site hospital will post temporary housing. Its construction is scheduled for completion in July 2020. If the epidemiological situation worsens, there is deployed the emergency room and the lab, and the hospital itself is re-hospitalization of patients with coronavirus infection.
City clinical hospital.Itza Botkin — General hospitals. In 2015, there opened the largest in Europe, medical simulation center. Learning it were more than 45 thousand health workers in 230 programs and 50 majors.
Training on robots: how does the simulation center Botkin hospital.
In 2016, earned a Moscow coordinating center of organ donation. In the same year appeared the platform for evacuation of patients to the hospital via medical helicopter. In 2017, after the overhaul, the patients again began to take in building # 21, where deployed a regional vascular centre.
In 2019, the clinic opened Moscow city eye care center 146 beds — it has four fixed ophthalmology departments, including unique Department of ophthalmooncology (treatment of intraocular tumors and eyelid tumors), treatment of glaucoma, macular degeneration and other eye diseases.
Largest city: how the Moscow ophthalmological services
major repairs were carried out postmortem of the body. Created a powerful modern ecomorphologically and molecular lab, as well as the largest thanatological center in Moscow.
In 2020 overhaul is completed Hematology case for 120 beds, which are offices for the treatment of patients with diseases of the blood, including them in the courses of chemo-, immuno-, targeted therapy. The case can accept up to six thousand patients a year — almost a third more than before the repair. Every year, it is planned to conduct up to 150 transplants of bone marrow.
in 2016 is under major hull repair no. 11. a three-Storey building with an area of 6.5 thousand square meters was built in 1911 recognized as an architectural monument. The renovation is scheduled to end in 2020.
After renovation in the building will be deployed to mezhokruzhnaya Nephrology center 68 beds in it will be two, Nephrology Department, laboratory hemodialysis, operating room and clinic.
Now these units are scattered in different buildings of the hospital. Their Union in case No. 11 will increase the number of hemodialysis procedures by 20 percent, and the number of patients treated by peritoneal dialysis — 25%. Instead of six-eight-there will be one-, two – and three-room suites. Increase the area of dialysis rooms.
In mezhokruzhnaya Nephrology center will host the dynamic supervision and treatment of ambulatory patients with chronic kidney disease — the residents of five districts of Moscow (today the hospital can only accept outpatients from Sao). Including this will greatly delay the onset of dialysis phase of chronic kidney disease at least 200 people annually.
the Second phase of the comprehensive development programme Botkin hospital started in may-June 2020. It includes the repair of the four buildings of the hospital.
Case No. 28 — cancer
Built in 1951, with an area of 3706 sq. meters. Earlier it was medical school. After the overhaul and reequipment of housing is planned to accommodate the center for outpatient cancer care.
“the Uniqueness of this center is that it is located in the largest multiprofile hospital of Moscow and will be able to use all the resources and power of the Botkin hospital. It will create a comfortable environment for patients, here we will try to improve early cancer detection rate, reduce the time of diagnosis. As a result of all of this as early as possible to be initiated of specific anticancer treatment”, — said Dmitry Grekov, Deputy chief physician in Oncology.
Botkin hospital — one of the six main hospitals providing cancer care to Muscovites. The center will be more than 200 thousand specialist consultations per year, and in the day hospital will accommodate 22 beds. This would allow up to 25 thousand cycles of chemotherapy annually. Complete the work planned in the first quarter of 2021.
Sergei Sobyanin on the development of cancer services in the city
building # 7 — surgical (formerly infectious diseases)
Built in 1970, with an area of 6302 square feet. After overhaul and full re-equipment in housing will move the Department of purulent traumatology 30 beds with two specialized operating and intensive care unit of six beds.
the Office is a unique multidisciplinary division that combines purulent surgery, traumatology, orthopedics and reconstructive plastic surgery. Priority — providing care to patients with trauma and orthopedic pathologies of the musculoskeletal system, complicated by infection.
the Opening of an office in the new building will increase the number of treated patients from 2025 to five thousand a year and the number of operated patients with 1355 to 4200.
Also will be organized hospital short stay with 12 beds with three operating rooms. Patients will be able to complete a full cycle of pre-operative and inpatient diagnosis and treatment with subsequent follow-up. This will increase the number of surgeries in the two and a half times — up to 10 thousand transactions using in 90 percent of cases, the video endoscopic equipment. The increase in the flow patients in hospital will free-hour beds for more severe patients. Complete the work planned in the first quarter of 2021.
Building # 6 — somatopsychology
Built in 1911, is a monument of architecture. Area of 977 square metres. After the repair, the building will create a modern comfortable and safe conditions for the provision of specialized care to mentally ill people with severe concomitant somatic pathology. Psychosomatic Department will be designed for 25 beds. Complete the work planned in the second quarter of 2021.
Building No. 8 easting
the two-story building with a basement consists of two buildings. It is a monument of architecture. The main part was built in 1910, the second in 1982. Is a monument of architecture. Area — 3039 square meters.
the Building has not been used since 2006. Previously it was a canteen. After restoration and overhaul is also planned to place a catering preformed line power, modern cooling machinery and equipment for cooking 1800 patients six times a day.
the Transfer of the nutrition unit of the main body will free up space for the organization of a modern pharmacy service. Professionals will use a robotic storage system, accounting and personalized packing as well as dispensing of medication.
Complete the work planned in the second quarter of 2021.
the Next step of the comprehensive development programme Botkin hospital will be the overhaul of four buildings of the hospital. Work is planned from 2021 to 2023.
Building # 8 — therapeutic
Built in 1911, is a monument of architecture. Area — two thousand square meters. After the overhaul and re-equipment it is planned to open the medical ward.
Case No. 10 — academic
Built in 1911, is a monument of architecture. Area — 9101 square meter. Today the building is the Department of Nephrology and anesthesiology and resuscitation. After the repair you transferred here 24 departments of the leading medical research centers and universities, which are now scattered in different buildings of the hospital. Convertible it is equipped lecture halls and classrooms with modern media systems. With their help the specialists and medical students will be able to watch online broadcast from the operating Botkin hospital.
Building # 9 — surgical
Built in 1911, is a monument of architecture. Area — 2888 square feet. The hospital will be open for intraluminal endoscopic surgeon��and 10 beds, as well as short-term stay hospital with 30 beds where to refer patients for “surgery”, “urology”, “orthopaedic surgery”, “gynecology”, “otolaryngology”.
building # 2 is a multi — profile treatment and rehabilitation
Built in 1912, is a monument of architecture. The area of 3283 square feet. After the overhaul and re-equipment it will be located the Department of rehabilitation (24 beds), palliative care (25 beds) and chemoradiotherapy (20 beds). This will allow you to organize the hospital in a vicious cycle of treatment with the rehabilitation of trauma, orthopedic, neuro-, neurological and cancer patients, to improve the quality of palliative care for incurable patients.
Another major project in coming years — the construction of a modern stationary first-aid corps (admissions) of the Botkin city hospital.
“in Parallel, starts the construction of a unique first-aid complex. And it’s not just nice walls and a comfortable stay of patients. First and foremost is the most advanced technology, it internships of physicians and nurses using the best international practices. And without a doubt, it will give its results”, — said Alexei Shabunin.
Instead of the traditional principle of “patient — physician” the new admissions will be organized on the principle of “doctor to patient”. Not patients will walk through the rooms, and the specialists will come to him. To do this in the emergency Department will open and diagnostic unit (30 beds), intensive care unit (13 beds) shock chamber (10 beds), classrooms, computer and magnetic resonance tomography, ultrasound (sonography), endoscopy, x-ray, angiography, an operating unit of six tables.
admission to the Department the patient will meet a doctor distribution of the post, which will determine the priority of assistance. Then, accompanied by the medregistratora the patient referred to one of the viewing rooms. Redregistration entered its data in an information system. The specialty doctor is needed, receiving the notification, come to bed, will examine and prescribe the necessary examinations.
Doctors will work as part of multidisciplinary teams, which is especially important for patients with lesions of different organs and systems. Treatments, diagnostic tests and consultations that can be performed in the mobile mode, will be conducted directly at the patient’s bedside, inpatient study by moving it accompanied by medical staff. Modern equipment of the operating rooms and intensive care units will reduce the risk of postoperative complications.
Thus, during the stay in the emergency Department the patient will be constantabout to be under the control of the medical staff, it eliminates the need to move independently.
the new building emergency patients will get a full range of medical care (diagnostics, surgery, resuscitation) within the first days after hospitalization. Then, depending on the condition of their either sent home or transferred to the relevant Department of the hospital.
enter the body will increase daily intake of emergency patients up to 350-400 people (currently taking 150-200 patients) with maintaining the same number of hospitalizations on-bed hospital.
the Clinic was opened in 1910 on the money bequeathed an honorary citizen philanthropist industrialist Kozma by Soldatenkova. At that time a hospital was built on donations from known patrons. Kozma Soldatenkov has ordered to allocate two million rubles for the construction of a city hospital. He was convinced that Moscow should be built “free hospital for all without distinction of ranks, classes and religions”. Worked in the hospital three departments — infectious, surgical and therapeutic. Even then, the hospital was famous for being able to help Muscovites in a variety of ailments.
In December 1920, the city Council adopted a resolution on renaming Soldatenkovskaya hospital to Hospital named after S. P. Botkin.
Today, the hospital covers an area of over 16.5 hectares. The complex includes 48 buildings with a total area of nearly 200 thousand square meters, of which 13 facilities, including the Park are monuments of architecture.
Botkin hospital, the largest hospital in Moscow and Russia, which deployed 1683 inpatient beds, including intensive care 124, 146 — day hospital and 40 — hospital short-term stay. That’s seven percent of the total number of beds in the urban health care system.
the hospital employs about 4.4 thousand people, including almost 1.3 thousand doctors and about 1.8 thousand nurses. Among them, five members of the Russian Academy of Sciences, 16 honoured doctors of Russia, more than 100 doctors and 237 candidates of medical Sciences.
Botkin hospital — one of the most feature in Moscow. In recent years, managed to fully upgrade the diagnostic and treatment base hospital. It was purchased more than 13 thousand units of modern medical equipment worth more than six billion rubles.
Today at the disposal of doctors there are 113 ultrasound machines, including 30 expert class, 108 endoscopic instruments, expert class, six modern CT scanners, three magnetic resonance imaging, four apparatus to perform angiography, 48 hemodialysis systems.
Annually fixed POMewe at the Botkin hospital receive more than 107 thousand people, representing eight percent of patients treated in Moscow. 80 offices you can get all types of treatments.
the hospital employs 10 specialized urban medical centers and regional vascular center, the Moscow city haematological centre, centre for endoprosthetics of bone and joint centre diagnosis and treatment of toxoplasmosis, Moscow city center of organ donation, center for diagnosis and treatment of extrapyramidal diseases, mezhokruzhnaya Nephrology center, Moscow city ophthalmology center, simulation center training of health workers and the outpatient cancer care.
the Hospital is a clinical base 24 departments of six leading medical research centers and universities of Russia.
In 2019, the doctors clinic has performed about 70 surgeries in one and a half times more than in 2014, accounting for 9.5 percent of the total number of operations in the system of healthcare in Moscow. A large part of operations laparoscopic, that is less traumatic for the patient. In recent years, the share of such surgeries has increased considerably (up to 79.8 per cent in 2019), which corresponds to the leading surgery centres.
the tech robotic interventions increased four fold — from 128 to 2016 to 503 in 2019 (in leading European hospitals in an average year, performed 250-300 surgeries). During this period, using a surgical system “Da Vinci” held 1243 robot-assisted operations, primarily in the field of urology, Onco-urology, surgery of the liver and pancreas.
In 2018, the hospital started work in a new direction transplantation of organs and tissues. At the moment successfully completed 364 high-tech operations for liver transplantation (43 operations), kidney (94 operations), bone marrow (34 transactions) and cornea (193) operations.
For the six months 2020 at the Botkin hospital treated 43 634 patient and made 21 004 operation, including during a pandemic (March 2020) — more than 23,5 thousands of patients and 11 thousand operations.