Medical network on December 16 - hospitals, clinics regulatory hoops!
Recently, according to "look at those", according to health development planning commission of sichuan province are "interim measures for day-to-day supervision of medical institutions in sichuan province" for public opinion, scheduled to July 1, 2017. Specifically, to the family planning administrative department of public health at all levels should set up medical institutions supervision and administration commission, at random within their respective administrative areas or relying on the "three medical supervision platform" key to choose medical institutions, randomly selected regulators for inspection.
, mainly by the family planning administrative departments of public health director, director of the commission, members of the family planning administrative department of public health, head of the team members and related departments, supervision, hospitals, CDC, blood stations and other public health units, medical quality control center, but also absorb the medical expert, the people's congress, CPPCC member, on behalf of the masses, and so on. The committee consists of office, the office is located in the department of medical administration medical tube.
So how to regulation?
File is put forward, to encourage the family planning administrative department of public health at all levels to entrust a qualified third-party institutions or departments and units to carry out the daily supervision and administration of medical institutions.
Familiar with the third party is back! Fujian who before planning commission but hired third parties to investigate the problem of red kickbacks.
File, said into daily supervision department each year deal with medical institutions at all levels list of key regulatory management of realizing a complete coverage of the daily supervision of medical institutions.
That is to say, some problematic hospital will be the key regulatory objects, such as the medical institutions of some special dry're incapable deeds.
In addition, the file is put forward, the family planning administrative department of public health at the provincial level shall establish credit management information system, medical institutions will been reported two times a year, the administrative punishment of medical institutions included in the list of key regulatory system management, dynamic updating and timely publish to the society.
At all levels to deal with the family planning administrative department of public health supervision and management of the outstanding medical institutions to give praise, the supervision and management for three times a year by criticized the relevant person in charge of medical institutions, and a conversation admonishing, and can according to the cadre management authority suggested that relevant departments to give those responsible removed, shall be ordered to resign, fired, demoted groups such as processing.
Visible, was found to problem for hospitals and hospital leadership will have a big negative impact.
Attached: the interim measures on day-to-day supervision of medical institutions in sichuan province
The first chapter the general
Article 1 with a view to strengthening the supervision and administration of medical institutions, regulate the behavior of medical and health services, and promote the province's medical and health system reform, according to the "regulations on the administration of medical institutions", "medical quality management method" and other relevant laws, regulations and rules, combining the reality of sichuan, are formulated.
Article 2 these measures shall apply to the provincial administrative area shall obtain the "practice license of medical institution" of all types and at all levels of medical institutions.
Article 3 of the daily regulation "as mentioned in the present measures refers to the family planning administrative department of health for all types of medical institutions at all levels to carry out the health to family planning laws, regulations, rules, standards and the supervision and administration of the relevant regulatory documents and does not involve registration management, checking, medical accident ShuDeHua processing, administrative system, such as adjusting, all should according to the deepening medical and health system in sichuan province comprehensive reform pilot program" to carry out the government investment required duties.
Article 4 the daily supervision and administration of medical institutions shall abide by the row level, double random, focused, seeking truth from facts, objective and fair, the principle of information disclosure.
Article 5 of the provincial family planning administrative departments in charge of BuShengJi medical institutions, health supervision and administration of the municipal medical war leading hospitals; The municipal family planning administrative department of health is responsible for the other city, and supervision and administration of medical institutions at the county level; The family planning administrative department of public health at the county level is responsible for the basic medical and health institutions, clinics, outpatient department of supervision and management work; Departments (troops) run, social supervision and administration of medical institutions by its registration is responsible for the family planning administrative department of public health.
Article 6 of the provincial, city and county to implement the family planning administrative department of public health, daily supervision and administration of medical institutions within their respective administrative areas random or relying on the "3 d comprehensive regulatory platform" key to select medical institutions, randomly selected regulators for inspection.
Article 7 when the family planning administrative department of public health at all levels to perform regulatory responsibilities, shall have the right to enter the units under inspection investigation, consult or copy the relevant data and samples, units and individuals in violation of laws and regulations to stop illegal activities.
Article 8 all kinds of medical institutions at all levels shall cooperate in executing the daily supervision of medical institutions, security supervision personnel shall perform their duties according to law.
The second chapter institutions
Article 9 of the family planning administrative department of health shall set up medical institutions at various levels supervision and administration commission, mainly by the family planning administrative departments of public health director, director of the commission, members of the family planning administrative department of public health, head of the team members and related departments, supervision, hospitals, CDC, blood stations and other public health units, medical quality control center, but also absorb the medical expert, the people's congress, CPPCC member, on behalf of the masses, and so on. The committee consists of office, the office is located in the department of medical administration medical tube.
Article 10 the medical institutions supervision and management committee shall perform the following duties:
(a) listen to the report everyday supervision of medical institutions;
(2) study and formulate effective measures to standardize management of the medical institutions;
(3) the research decided to implement annual plan and scheme of day-to-day supervision of medical institutions;
The use of regulation (4) research, relevant Suggestions and opinions;
(5) in the research processing daily supervision other important matters.
Article 11 the supervision and administration commission of the office to be responsible for the supervision and administration of medical institutions in daily work, perform the following duties:
(a) bear the organization and coordination, comprehensive planning, policy research, urged guidance and so on work;
(2) according to the supervision and administration commission of the annual implementation plan or plan to organize the implementation of the daily supervision;
(3) the supervision to carry out the supervision and administration commission agreed matters;
(4) evaluate day-to-day supervision of medical institutions;
(5) to the supervision and administration commission reports on the issue;
(6) to the public medical institutions supervision and call "12320", accepts the masses to report complaints, and coordinate related functions of the investigation and handling;
(7) to undertake supervision and other tasks assigned by the management committee.
Article 12 encourage family planning administrative department of public health at all levels to entrust a qualified third-party institutions or departments and units to carry out the daily supervision and administration of medical institutions.
The third chapter regulation ratio
Article 13 the daily supervision department according to the actual medical institutions at all levels and regulatory capacity, and so on and so forth determine the spot-check proportion, in principle, provincial, city and county spot check not less than 30% a year.
Article 14 the daily medical institutions at various levels supervision department every year into the list of key regulatory management of realizing a complete coverage of the daily supervision of medical institutions.
The fourth chapter content
Article 15 medical institutions at all levels of daily supervision department to effectively use a variety of regulation ways and means, the school leadership team members and especially the principal heads in the term and annual appraisal, according to law practice, health care, medical management, economic operation, precise construction of poverty alleviation, the mandatory task, movement to supervise the key link and parts.
Practice regulation including medical institutions and medical personnel in accordance with the law legal qualification, calibration of medical institutions, diagnosis and treatment subject registration, application of medical technology, the hospital infection management, surgery doctors authorization, and so on and so forth.
Medical management regulation including adhere to public welfare, to perform the function orientation, implement the core system, executing diagnosis, rational drug use management, naming, promote the "reduction to quality", for three or four operations, restrictive medical technology for the record, the specialized subject construction, promote disease to structure changes of the patients were, and so on and so forth.
Medical service regulation including conducting path, ambulatory surgery, make an appointment to clinical diagnosis and treatment, remote diagnosis, for the convenience of outpatient service, carry out inspection results mutual recognition, to carry out the management, to strengthen the construction of "three proofing", improve the system of medical insurance management, standardize hospital complaint management, to carry out the medical dispute prevention and disposal, control unreasonable medical expenses increased, and so on and so forth.
Regulation of economic operation including strict enforcement of national laws and regulations of finance and economics, strict enforcement of medical charge standard, optimize the efficiency of fixed assets, to carry out the financial risk control, regulate use fund key projects, reasonable equipped with human resources, tertiary hospital set up a chief accountant, establishing the implementation of large equipment purchase, the project argumentation of the project, benefit evaluation system, and so on and so forth.
Precise regulation for poverty alleviation including medical institutions to carry out the health requirements for poverty alleviation, the implementation of medical and health care to family poverty alleviation "big five" action, especially in medical support action, precision, poor patients go to a doctor, a diagnosis before settlement and reimbursement "one-stop" services, strict control of YaoXie use poor patients at its own cost, to carry out the "ten from four subsidies" policy, implement annual health family planning targets for poverty alleviation, and so on and so forth.
Tasks mandatory government regulatory issues including the implementation of hierarchical diagnosis, standardize the two-way referral, doctors to conduct a multipoint, couplet of counterpart support, medical in urban and rural areas, clinic inspection, we will deepen reform of the medical and health system, take the discovery of infectious diseases, prevention, treatment, report, attend the district medical emergency aid system, complete the public emergency emergency medical rescue and other public health mission, and so on and so forth.
Style of the cultivation of clean government regulatory matters include perfecting the punishing system construction, strengthen the construction of medical ethics, to carry out the "nine" is not allowed regulations, regulating the leading cadre power operation, implement the system of "triple a", thorough treatment pharmaceutical sales field of commercial bribery, carry out patient satisfaction surveys and medical staff satisfaction survey, carried out a third party worked the enhancement of the evaluation, and so on and so forth.
Article 16 medical institutions at all levels of daily supervision department should formulate the hospital leadership term target appraisal index system, implementation of the inspection, year by year, emphasis the job responsibilities, working performance of the objective evaluation of hospital leadership, social benefits and economic benefits, etc.
The fifth chapter regulatory requirements
Article 17 day-to-day supervision of medical institutions at all levels shall, according to the category, scale, management level of medical institutions, medical factors such as the security situation, combining with "three medical supervision platform" early warning information, prepare the annual daily plan or plan, organize and implement the daily supervision of medical institutions.
Daily plan or scheme shall include the regulation and supervision mode, frequency regulation and category of medical institutions, the spot-check proportion selectiving examination, etc.
Article 18 medical institutions at the provincial level daily regulators should according to laws, regulations and rules, as well as the national health and family planning commission about the latest regulatory requirements of medical institutions, make daily province medical institutions supervision point table, city and county level two can be combined with the actual for daily supervision point form of thinning and complement, to conduct a daily supervision and administration of medical institutions of various levels.
Article 19 daily regulators should grading medical institutions at all levels to health regulators to family planning laws, regulations, rules and standards, professional knowledge, and regulation of the training and examination of the point.
Article 20. The implementation of the daily supervision and administration of medical institutions, the regulatory focus should give priority to with on-site inspection way, to the general content can take the way of written examination. Encourage medical institutions select third-party evaluation institutions to evaluate their own business, management, operation, and so on and so forth, and the evaluation results as the reference of daily supervision.
The sixth chapter results using
Article 21 the family planning administrative department of public health response to day-to-day supervision of medical institutions at all levels result in at least once a year internal bulletin, give corresponding administrative punishment, rectification within a time limit for medical institutions, and according to the situation of the public to the society, gradually establish a supervision and management of the social supervision mechanism.
Article 22 the family planning administrative department of public health at the provincial level shall establish credit management information system, medical institutions will been reported two times a year, the administrative punishment of medical institutions included in the list of key regulatory system management, dynamic updating and timely publish to the society.
Article 23 the family planning administrative department of public health at all levels of medical institutions should be daily supervision results and the financial aid efforts, project capital allocation, overall level and medical institutions check, performance appraisal of medical institutions, medical and health institutions rank evaluation etc.
Article 24 the family planning administrative department of public health at all levels of hospital leadership should be term and annual appraisal results in a timely manner to himself or herself and has the cadre management authority authorities feedbacks and Suggestions, as adjust the position and promote the important basis of appointing.
Article 25 the family planning administrative departments for public health response to the supervision and administration at various levels are found in the bad practice of scorecard management behavior; To find illegal and disciplinary problems, in accordance with the provisions of relevant laws, regulations, administrative penalty and disciplinary action.
Article 26 excellent response to family planning administrative department of public health supervision and management performance at all levels of medical institutions to give praise, the supervision and management for three times a year by criticized the relevant person in charge of medical institutions, and a conversation admonishing, and can according to the cadre management authority suggested that relevant departments to give those responsible removed, shall be ordered to resign, fired, demoted groups such as processing.
The seventh chapter bylaws
Article 27 the measures, not according to the medical management related laws, regulations, rules and normative documents, etc.
Article 28 these measures since January 1, 2017, valid for 2 years.
Article 29 of the sichuan provincial health and family planning commission shall be responsible for the interpretation of these procedures. |
