On July 25, the general office of the state council issued a guideline on establishing the management system of modern hospitals.
▍ 2017 reform tasks, finish them one by one
The opinion has pointed out the direction of the establishment of modern hospital management system from 5 general direction 26 measures. This programmatic document includes the content of the hospital to compile, manage separation, rebate supervision and other industries.
It is also important to note that the release of the opinion is actually in the plan of deepening the reform of the medical and health system in 2017.
On May 5 this year, the general office of the state council issued a notice on deepening the priority task of the reform of the medical and health system in 2017 (hereinafter referred to as notice). In the notice, the national health and family planning commission (NHFPC) is required to complete the formulation of the opinion at the end of June. At the same time, the document on the shortage of medicines for medical care in 2017 has been released.
▍ medicine generation for the record, and imminent
By the end of December, the "drug generation filing system", which is in charge of the food and drug administration, will also be completed. There is news that, quickly, the first month of 2018 will be released.
As for the management of drug rebates, there was also a reference to "clarifying the government's regulatory role in hospitals" in the 25 days of the state council's opinion. To establish a comprehensive supervision system, the key to strengthen hospital medical costs of all types and at all levels as well as excessive, fraudulent insurance fraud, the regulation of behavior such as drug kickbacks, establish a "blacklist" system, the formation of the industry, diversity of long-term supervision mechanism.
In addition, the topic of drug administration record. Since the state council issued a document calling for a filing system, discussions and predictions have been consistent. Among them, industry people think that after the implementation of the preparation of the system, the drug generation may hold the post, accept the supervision of the society.
As the preparation of the system becomes more and more close, this prediction is gradually accepted by the industry. After the release of the information on the drug generation of cypress blue, there are a number of pharmacotics that have expressed their welcome in the interactive communication between them and micro-friends. The expectation is that the work will be in the sunshine.
The following is the content of the industry in the opinion of the state council on July 25. Please visit the website of the state council.
Managed separation from direct management to industry management
Keep political affairs separate from each other. The competent administrative departments at all levels to innovate management way, from direct management of public hospitals to industry management, strengthen the planning, policies and regulations, industry standards to develop and to the supervision and guidance of the hospital.
The tertiary public hospitals should all participate in the construction of the medical consortium and play a leading role. The diversification of assets, the implementation of managed hospitals and medical consortium, can be established at the hospital level.
Explore the target annual salary system
Public hospitals are allocated independently in the total amount of approved compensation, which reflects the difference of the position and the balance of the subject, which can be achieved through multiple labor and excellent performance. In accordance with the relevant regulations, the hospital can explore the implementation of the target annual salary and the remuneration of the agreement. The remuneration of medical personnel shall not be linked to the income of drugs, sanitary materials, inspections, tests, etc.
The administrative level of the hospital will be cancelled
The administrative levels of public hospitals will be phased out, and the heads of the health and family planning administrative departments at all levels (including the administration of traditional Chinese medicine) shall not concurrently assume leadership positions in public hospitals.
Regulating drug rebates and establishing a "blacklist" system
Clarify the government's regulatory functions for hospitals. Establish a comprehensive supervision system, the key to strengthen the hospital medical quality and safety of all types and at all levels, medical expenses and excessive fraud, insurance fraud, the regulation of behavior such as drug kickbacks, establish a "blacklist" system, form a long-term supervision mechanism of the industry, diversified.
To cause significant social impact of chaos, poor practice behavior, such as a significant medical accidents, major safety accidents, serious cases of violations, a serious violation of the enhancement of the construction of the behavior, to establish accountability mechanism.
Luxury decoration is strictly prohibited. The proportion of special services is reduced
We will strictly control the size of hospital beds, construction standards and the provision of large-scale medical equipment, and we will strictly prohibit the construction of debt and luxurious renovations. We will gradually compress the beds beyond the standard of scale. To control the size of the public hospital's special needs service, the proportion of special needs services is not more than 10%. |
