Medical network - January 12 public hospitals of high value medical consumables purchase two votes and gain a province!
State version of two votes drug file just put on January 9, who of hainan province development planning commission on January 11, announced the public medical institutions and drug of hainan province, the high value medical consumables procurement (trial) ", "two votes" detailed rules for the implementation of public faces the society for advice, feedback the date as of January 25, 2017.
According to the draft, the hainan province all public medical institutions and drug, high value medical consumables purchase full implementation of the "two votes". Does not according to the provisions of the "two votes" requirements of medicine, high value medical consumables production enterprises, circulation enterprises, cancel the qualification of bidding, bid and distribution, and included in the drug, the high value medical consumables purchase record.
Note that hainan province is also to practice the medicines and chemical reagents, consumables and puts forward two votes in the province. And its about the definition of high-value consumables two votes, etc., and with the provisions of the state version of two votes drug or spirit highly consistent.
For example, as a special remote and inaccessible villages and towns medical and health institutions and distribution of high value material, as well as drugs, an additional tickets allow circulation enterprises, namely up to three tickets.
Can also be a temporary exemption from two votes situation is: in response to the outbreak of natural disasters, major, major events and the patient (rob) save the special circumstances, such as emergency drug procurement, high value medical consumables or national pharmaceutical reserve drugs, can special treatment.
High-value consumables procurement mainly refer to drug enforcement of two votes, to become a reality in hainan province.
In addition, the two votes file of hainan province is not for ordinary medical consumables, this also with shaanxi province high-value consumables in consumable two votes for the practice of leading, remain the same. In the future, or more provinces will be high-value consumables as consumables two votes a breakthrough.
Hainan is not a national comprehensive reform pilot provinces, but in the country ahead of a relatively high value consumables of two votes, visible material of two votes advance speed is accelerating, far more than expected.
And in order to ensure the implementation of the high-value consumables of two votes, the file is put forward, and the agency to the inclusion of two votes in the high value of hainan province consumables enterprises fly check, daily check, price and business to antitrust in high-value consumables procurement, the tax should strengthen the high-value consumables company invoice management, etc. All of this means that the high value of hainan province consumables production and management enterprises will usher in a more violent storm.
Attachment: hainan province public medical institutions and drug, high value medical consumables purchase (trial) "two votes" detailed rules for the implementation (draft)
For the implementation of the general office of the state council "about the deepening medical and health system reform in 2016 key task notice (the hair [2016] 26 date) regulation, reform office and so on eight departments jointly issued by the state council" about in the public medical institutions and drug procurement for the implementation of the "two votes" opinion (try out) "(the reform do hair [2016] no. 4) such as spirit, promoting public medical institutions in the purchase of drugs, high value medical consumables to carry out the" two votes ", combining the reality of our province, formulate the detailed rules for the implementation.
First, the overall goals
According to the CPC central committee and the state council and the provincial party committee, the provincial government to further the reform of medical health system, major policy decisions, and to promote the development of medical health industry to carry out "two votes" for the gripper, continuously deepening the reform of drug circulation, high value medical consumables, standardize the distribution order, the compression of the intermediate links, reduce prices artificially high, purifying the circulation environment, strengthen market supervision, to crack down on "money laundering" and tax evasion violation behavior, such as urban and rural residents' medical security, maintain the rights and interests of the people's health.
Second, the scope of application
Province all public medical institutions and drug, high value medical consumables purchase full implementation of the "two votes", namely: by the drug, high value medical consumables production enterprise (hereinafter generally referred to as the "enterprises") to the drug, high value medical consumables circulation enterprises (hereinafter generally referred to as "circulation enterprises") open a sales invoice, circulation enterprises to the public medical institutions to open a sales invoice.
Production enterprise of the integration of trade and industry or group of enterprises to establish only sales of the enterprise (group) pharmaceutical, high value medical consumables wholly owned or holding companies (only 1 national commercial companies) as production enterprise.
Foreign drug or high value medical consumables domestic general agent (the only one in the domestic general agent) as production enterprise.
Drugs, high value medical consumables to wholly owned subsidiaries (holding) group company internal circulation or wholly owned subsidiaries (holding) transfers between drugs shall not be regarded as a ticket, but most allow open an invoice.
Third, the relevant provisions
(a) production, circulation enterprises should in accordance with the principle of fairness, lawfulness, honesty and credit reasonable price levels. Manufacturing enterprises can be medicine, high value medical consumables delivery directly to the public medical institutions, also can entrust a circulation enterprise distribution. Encourage public medical institutions and production enterprises directly by hainan province medicine centralized purchasing platform settlement payment for goods, production enterprises and circulation enterprises and settlement distribution costs.
(2) production enterprise can be medicine, high value medical consumables sales to the circulation enterprises, circulation enterprises should sell direct to the public medical institutions. If you want to entrust other circulation enterprises to carry out distribution, distribution enterprises must provide drugs, high value medical consumables list (with drugs, high value medical consumables outbound order), shall not occur between buying and selling behaviour.
(3) sell drugs production, circulation enterprises, high value medical consumables, shall be in accordance with the relevant provisions of the invoice management of the special invoices for value-added tax or VAT invoice (hereinafter generally referred to as the "invoice"), the project complete to fill in. Sell drugs also shall, in accordance with the drugs management quality management specification (drug GSP) asked the attached with the cargo of peers, purchase of the invoice (as well as the listing, similarly hereinafter), annul name shall be just and with goods flow direction in order, payment, amount is consistent.
(4) buy medicine circulation enterprises, high value medical consumables, should take the initiative to ask for bill to the production enterprise, the invoice must be issued by production enterprises. When the arrival of the acceptance, should verify invoices, the supplier with goods peer list with the actual purchase drugs, high value medical consumables varieties, specifications, quantity and so on, check in and establish purchase drugs, high value medical consumables acceptance record, do vote, cargo, zhang.
For invoice with with the cargo list do not conform to the requirements of the relevant provisions of the state, or invoice, along with the goods peer list and purchasing drugs, content is not consistent between high value medical consumables, shall not be acceptance into the Treasury. Medicines and chemical reagents, high value medical consumables and related bills, buying and selling of invoice shall be saved in accordance with the relevant regulations.
(5) public medical institution in the province medical centralized purchasing platform by purchasing documents, to implement the "two votes" as the prerequisite. For bidding and procurement of medicines and chemical reagents, high value medical consumables, to verify production enterprise qualification, bid directly by the production enterprise. Enterprises to participate in collective purchasing in a bid to implement the "two votes" commitment, otherwise the tender invalid. Implement other purchase way to purchase medicines, high value medical consumables, also must be specified in the purchase contract the requirements of the "two votes".
(6) of public medical institutions must sign a distribution agreement with production enterprise or circulation enterprise, expressly agreed upon the concrete issues and drug distribution, high value medical consumables security responsibility for the quality related requirements, to ensure drug, high value medical consumables distribution in place timely.
(7) public medical institutions in medicines and chemical reagents, high value medical consumables check incoming, must be identified ticket, cargo, and account agreement shall be put in storage, use, not only need to charge for distribution of circulation enterprises, validation, invoices, also should be required to circulation enterprise stamp issued by the manufacturer to provide purchase invoice copy, two invoices circulation enterprise name, batch number and other related content to confirm each other, and as a public medical institution payment vouchers, included in the financial records management.
Each variety provides at least once a purchase invoice copy. Will encourage qualified cities and counties in the use of electronic invoice, through the information means to verify "two votes".
(eight), according to the principle of distance, linkage between urban and rural areas, encourage support regional drugs, high value medical consumables distribution between urban and rural integration, "the last kilometer" through rural distribution. For special remote and inaccessible rural medical and health institutions (village clinic bought by towns and townships) drug distribution, high value medical consumables, allow circulation enterprises on the basis of the "two votes" to open a sales invoice, in order to ensure grass-roots drugs, high value medical consumables supply effectively, increase the tickets need to be submitted to the provincial health and family planning commission for the record.
In order to ensure the drugs, high value medical consumables distribution in place in time, special circumstances in the production of enterprises need to change the distribution, submitted to the provincial public resources trading service center, provincial health and family planning commission for examination and approval strictly.
(9) in response to the outbreak of natural disasters, major, major events and the patient (rob) save the special circumstances, such as emergency drug procurement, high value medical consumables or national pharmaceutical reserve drugs, can special treatment.
(10) circulation of narcotic drugs and the psychotropic drugs of category I still according to the regulations of the state.
Four, supervision and management
(a) government affairs center of province led the joint health and family planning commission, the provincial food and drug administration, the provincial price bureau, province administration for industry and commerce, the irs, the province of industry and information technology hall, provincial department of Commerce Department such as supervision of the implementation of "two votes" work, strengthen drug, high value medical consumables procurement supervision and management, is not according to the provisions of the "two votes" medicines, high value medical consumables production enterprises, circulation enterprise, cancel the qualification of bidding, bid and distribution, and included in the drug, the high value medical consumables purchase record. Municipal and county (district) corresponding to the functional departments responsible for the implementation of the "two votes" within their respective administrative areas in the supervision and administration work.
(2) the health to family planning departments at all levels should strengthen the public medical institutions, perform the supervision and inspection of the "two votes" to line (certificate) is lax, "two votes" to carry out the default payment for goods is not in place, and have made no medical institutions to criticized, until the responsibility shall be investigated for relevant personnel. Medical institutions to perform "two votes" linked to unit PingXian assessment, performance appraisal.
(3) the provincial government affairs center to strengthen medicines and chemical reagents, high value medical consumables procurement platform for information construction, strengthen the implementation of the "two votes" informatization supervision means, pushing drugs, high value medical consumables procurement platform (province public resources trading service center), drug tracing system and credit system construction platform such as connectivity, regulatory standards and interflow, mutual recognition of the results.
(4) the food and drug supervision and administration departments at all levels should strengthen the medicines and chemical reagents, high value production and management enterprise supervision and management of medical consumables, will implement the "two votes" content into the flight check, daily supervision and inspection, in accordance with the law to crack down on all forms of violation behavior, to the enterprise in violation of the "two votes" requirements, shall promptly notify the provincial drug, high value medical consumables centralized purchasing organization. For violation of medicines and chemical reagents, high value medical consumables management regulations, affect quality, conduct investigation in accordance with the law.
(5) to crack down on drug prices and industrial and commercial administrative departments at various levels, high value medical consumables in the purchase and sale price monopoly, unfair competition, and consumers' legal rights violations.
(6) of the national tax departments at all levels should strengthen the medicines and chemical reagents, high value medical consumables production, circulation enterprises and medical organizations of invoice management, in accordance with the increase of tax evasion behavior auditing, production and operation enterprises paper usage of verification, found that the problem timely.
(7) business department and the ministry departments at all levels to carry out "two votes" as pushing drugs and high value medical consumables circulation reform, modern medicine and high value medical consumables circulation way of the development of the main work, to further strengthen medicines and chemical reagents, high value medical consumables management of enterprises and build distribution capability level evaluation system.
(8) other relevant departments according to the division of responsibility, initiative, to take on responsibilities, cooperate closely, do well regulated cohesion, form the joint effort, conscientiously do a good job in "two votes" the implementation of the work.
(9) to strengthen the supervision and inspection of the implementation "two votes". Encourage mutual supervision between enterprises to report. Each province health and family planning commission led by joint provincial food and drug administration, the provincial price bureau, province administration for industry and commerce, the irs, the province's hall, the province business hall, not regular spot checks on a regular basis the production, distribution enterprises and the public medical institutions to carry out the "two votes".
For violation of medicines and chemical reagents, high value medical consumables to the relevant provisions of the regulatory and tax management production, circulation enterprises and the public medical institutions, relevant departments to give severe punishment. Suspected of a crime, transferred to public security organs in accordance with the law.
Five, the work requirements
(1) of each department, municipal, county government to seriously implement the provincial party committee, provincial major decision deployment, fully recognize the significance of deepening the comprehensive reform of medical health system, standing about politics, the height of the overall situation, the people's livelihood, highlight the focus, carefully organize the implementation, to ensure that the "two votes" work smoothly.
Provincial health and family planning commission (2) to strengthen with the food and drug regulation, prices, industry and commerce administration, national tax, ministry, business and other departments of communication and coordination, clear division of work, completes the regulatory cohesion, do do their job, each its, form the joint effort, vigorously promote the full implementation of the "two votes" work.
(3) the various departments and various cities county government to adhere to the correct public opinion guidance, strengthen the policy interpretation, propaganda and guidance, easy to understand, vivid image, the purpose of the implementation of the "two votes" extensive publicity, the practice and significance of strengthening information disclosure, fair show, actively response to social concerns, widely accept social supervision, to promote the "two votes" build good public opinion atmosphere.
(4) all departments and various cities county to promote the "two votes" into the health care work important content, performance appraisal focus around the web mining rate of medical institutions, RuKuLv, distribution enterprise distribution rate, timely rate and distribution quantity meet gauge storage rate, service rate, quality, service reputation, storage and transportation conditions, dynamic supervision and examination mechanism of distribution, to promote the tube, to form a good competitive landscape distribution work.
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