Medical network on July 6 - July 4, national planning commission jointly the Treasury and other departments jointly issued by the file, clear national health development planning commission and state JuShu pipe of traditional Chinese medicine hospital on September 30 2017 all participate in the public hospital reform of possession.
As one of the key tasks of the comprehensive reform of the medical and health system in 2017, the commission will take charge of the reform of public hospitals, and the relevant departments will carry out comprehensive performance assessment work.
Read through the affairs of the nation's health and family planning commission and the national JuShu pipe of traditional Chinese medicine hospital in announcement concerning the work of public hospital comprehensive reform, the core spirit is committee belongs to who hospital to play a "national team" spirit in the process of reform.
In line with the reform of the national public hospitals, the commission is also required to eliminate all drug addition by the end of September 2017. As one of the compensatory means of implementing zero bonus of medicine, it is necessary to adjust the price structure of medical service.
According to the functional orientation of the national team of the Venezuelan hospital, the state hopes that these hospitals will be able to carry out new technologies and projects with high technical difficulties and high risks. For basic medical services, the government guided prices; The market adjusted price for personalized medical service. Among them, the state requires that the proportion of special medical services provided by venezuela's entrusted hospitals should not exceed 10% of all medical services.
In order to demonstrate the role of "vanguard" in the reform of the hospital, it is also the first to establish a modern hospital management system. One of the goals that is clearly needed is that the commission will have all its chief accountants appointed by the end of July 2017.
In addition, the document requires that the hospital should take the lead in implementing the plan of action for further improvement of the medical service. The specific measures include the implementation of real-name appointment and treatment, the enhancement of the quality of the day operation, the implementation of MDT, and the implementation of inter-clinic settlement.
Recently, issued by the general office of the state council "about further deepening the reform of the basic medical insurance payment guidance", clearly put forward fully implementing the macro-reforms, DRG pilot work. As a public hospital reform, the commission will focus on the promotion of the disease and pay for the disease. In addition, the commission will also conduct DRG pilot work.
Attached: 44 national health and family planning commission (HPC) hospital list
Beijing hospital, the hospital, Chinese academy of medical sciences, Peking union medical college hospital, Chinese academy of medical sciences fuwai cardiovascular hospital, Chinese academy of medical sciences cancer hospital, Chinese academy of medical sciences, plastic surgery hospital, Chinese academy of medical sciences demartological hospital blood diseases hospital, Chinese academy of medical sciences, Peking University first hospital, Beijing university people's hospital, Peking University third hospital, Beijing university stomatological hospital, the sixth hospital of Beijing university, the first hospital of jilin university, jilin university, jilin university second hospital the fellowship hospital, jilin university stomatological hospital, zhongshan hospital affiliated to fudan university, fudan university, huashan hospital, pediatric hospital affiliated to fudan university, department of obstetrics and gynecology hospital affiliated to fudan university, fudan university, fudan university affiliated tumor hospital otolaryngology hospital affiliated second hospital, qilu hospital of shandong university, shandong university, huazhong university of science and technology, xiehe hospital affiliated to tongji medical college, huazhong university of science and technology, tongji hospital affiliated to tongji medical college, huazhong university of science and technology, liyuan hospital affiliated to tongji medical college, central south university xiangya hospital, central south university xiangya hospital, central south university xiangya research, first affiliated hospital of sun yat-sen university, sun yat-sen memorial hospital, sun yat-sen university, sun yat-sen university cancer prevention and control center, sun yat-sen university, zhongshan ophthalmic center, sun yat-sen university affiliated stomatological hospital, west China hospital of sichuan university, sichuan university, west China second hospital, sichuan university huaxi stomatological hospital, xi 'an jiaotong university medical school first affiliated hospital, xi 'an jiaotong university school of medicine, second affiliated hospital, xi 'an jiaotong university school of medicine affiliated stomatological hospital.
Notice concerning the implementation of comprehensive reform of the national health and family planning commission and the state administration of traditional Chinese medicine in the public hospitals of the prefecture
To implement the "government work report in 2017" issued by the state council general office on deepening the reform of medical health system in 2017 key task notice (countries do hair [2017] no. 37) requirements and the national health work picturephone meeting spirit, decided to fully implemented directly under the national health and family planning commission, the state bureau of traditional Chinese medicine and the budget management of colleges and universities affiliated hospital (hereinafter referred to as the committee JuShu tube hospital) comprehensive reform, cancel all drug addition. The relevant work notice is hereby notified as follows:
First, fully understand the importance of comprehensively pushing the comprehensive reform of the management of the department
In 2017, the comprehensive reform of public hospitals will be fully opened, and the elimination of all drugs will be added. The decision and deployment of the party central committee and the state council will be the top priority in deepening reform of the medical and health care system. Committee JuShu tube hospital is public hospital of "national team", represents the highest level of medical technology in China, in the difficult critically ill disease diagnosis and treatment, personnel training, medical research, regional and national medical technology progress and participate in incident emergency medical rescue and enhance international competitiveness, etc, play an important and irreplaceable role. The reform and development of the affiliated hospital is of great significance for the development of health reform and the development of health and health. Each appoint JuShu tube hospital implemented to realize the importance of public hospital reform, the idea of political consciousness, overall situation consciousness, core, aligning with consciousness, consciously to unify thoughts and actions to deployment of the CPC central committee and the state council's decision, in accordance with the unified deployment of public hospital reform, actively take part in the reform, play a "national demonstration leading role", strictly implement the reform tasks.
Second, the local management hospital should focus on the implementation of key reform tasks
(a) seriously implement the "state council general office on urban public hospital comprehensive reform pilot guidance" (no. 38 countries do hair [2015]) and to carry out the reform of public hospital reform, fully implemented before September 30, 2017, a comprehensive reform (except traditional Chinese medicine yinpian) bonus to cancel all drugs, break with medicine medical mechanism, establish maintenance the public welfare, to mobilize enthusiasm, ensuring the sustainable public hospital operation mechanism and decision-making, execution, supervision and coordination, the governance mechanism of checks and balances, promote each other, we will accelerate the establishment of a modern hospital management system.
(2) execute apanage medical service price reform policy earnestly, cooperate to adjust the structure of the medical service price, to improve the value of medical personnel technical services in the hospital medical service income of the total. In accordance with the function of "national team", we should carry out medical service projects that are suitable for the national team, and actively carry out new technologies and projects with high technical difficulties and high risks. To fulfill social responsibility to carry out basic medical services, strict enforcement of government pricing, orderly market regulation of outpatient medical services and other market competition more fully, stronger demand for personalized health care services, strictly control the scale of the special medical services, and provide the proportion of outpatient medical service does not exceed 10% of the total medical services.
(iii) actively participate in the construction of the graded diagnosis and treatment system and take the lead in the construction of the medical consortium and play a leading role. According to apanage the medical couplet body construction overall arrangement, joint secondary hospital, set up medical group of grassroots medical institutions, Shared with the talent, technical support, check the mutual recognition, prescription flow, service cohesion as a link, to the family doctor team to provide technical support and operational guidance, guide the high quality medical resources sinking, improving the capacity of grassroots medical services. We will encourage the establishment of a cooperative relationship between the trans-regional and a number of medical medias, and establish a high-level, complementary and complementary medical association, which will enhance the capacity of medical services in the region. We will encourage cooperation in specialized fields to form a specialized alliance across the region and enhance the ability to treat major diseases. We will encourage the provision of telemedicine services to grassroots, remote and less-developed areas, and improve the overall efficiency of quality medical resources and medical services. We will play a leading role in the health and poverty alleviation, the support of the group and the support of the group.
Dependency (4) take an active part in medicine, high value medical consumables centralized purchasing, hospital use of all drugs (not including Chinese medicine yinpian) should be through the earthly provincial drug centralized purchasing platform (provincial public resources trading platform) procurement. Encourage committee JuShu tube joint venture or a joint venture with local hospital hospital procurement group, giving full play to the advantages of bulk purchase, to carry out the belt quantity, with procurement budget, further squeeze drug supplies water price. Take the lead in the implementation of drug purchase "two votes", encouragement and drug manufacturers direct settlement drugs and drug production and distribution enterprise settlement distribution costs, and in strict accordance with the contract time payment drug payment for goods.
(5) actively participate in the reform of the mode of payment of medical insurance, and gradually reduce the amount of payment to be paid by the project, and expand the payment range by disease type and service unit. We will actively explore the payment reform of the related groups (DRGs) based on disease diagnosis, and do a good job in the standardization of basic work and clinical data. The clinical pathway management was advanced to improve the number of clinical pathway management cases, the rate of entry and completion rate. Actively participate in the online settlement of medical insurance.
(6) improve the hospital income distribution mechanism. According to the relevant policies and regulations of the central institution, it will improve the performance wage allocation method, reflect the differences in the position, balance the subject balance, and reflect the multi-lauderable and excellent performance. A sound system of internal performance appraisal, the outstanding performance of post responsibilities, workload, service quality, behavior standards, medical expenses, medical quality and safety control, personnel training, and the patient degree of satisfaction of medical ethics, such as index, the assessment results and the medical staff personal salary, job employment, job title promotion. It is strictly forbidden to issue revenue targets to departments and medical personnel, and personal compensation of medical personnel should not be linked to the income of drugs, sanitary materials, inspections and tests.
(7) take the lead in implementation of control public hospital medical expense unreasonable growth of several opinions (countries who restructuring hair [2015] no. 89), to regulate the behavior of medical personnel and treatment, strengthening hospital internal control system, and strictly control the scale of the hospital, reduce the drug supplies inflated prices, promote the reform of medical insurance payment methods, build the hierarchical diagnostic system, implementation of the national health promotion and health management, and other comprehensive measures to control the medical expense unreasonable growth. According to the principle of the local government, the management of the affiliated hospital is included in the control scope of medical expenses.
First, the establishment of a modern hospital management system. Formulate the articles of association of the hospital, to establish and perfect the system of hospital internal management organization, management, and rules of procedure, procedures, etc., regulating the internal governance structure and power operation rules, and improve the medical quality and safety, human resources, financial assets, performance appraisal, talents training, scientific research, logistics, information, such as internal management system, improve the level of hospital management standardization and refinement, scientific, reduce hospital operating costs. We will strictly implement the core system of medical quality and safety, and promote rational inspection, medication and treatment. In terms of position setting, income distribution, professional title evaluation, management and use, etc., make overall consideration for the establishment of internal and external personnel. Establish and improve comprehensive budget management, cost management, financial reporting, third-party audit and financial information disclosure system. Before the end of July, 2017, the local government will complete the work of the chief accountant. We will implement standardized training of resident doctors, standardized training of specialists and continue medical education system, strengthen the construction of clinical key specialties, disciplines and teaching bases, and do well in the training of medical students. We will strengthen standardization and standardization of hospital information systems, and take the lead in establishing unified information standards and interfaces to achieve connectivity.
(9) take the lead in implementing the plan of action for further improvement of medical services. The scientific implementation of the appointment and treatment, the realization of the time precise appointment, the implementation of the real-name appointment diagnosis and treatment. According to the patient's medical treatment, the patient should be able to allocate medical resources such as emergency hospital, hospital bed, pharmacy, etc., which can influence the bottleneck of the patient's medical treatment experience. To strengthen ambulatory surgery quality fine management, in order to explore some hospital services into medical services in the day, and optimize the medical service process, improve the efficiency of medical service, ease patients' hospital "and" operation difficult "problem. We will continue to improve the quality of medical care, and establish a multidisciplinary diagnosis and treatment model for severe and acute diseases, and strengthen the safety and privacy protection of patients. We will strengthen the construction of nursing teams, fully implement quality care and continuously improve nursing services. Strengthen drug administration, promote rational use of drugs. We will carry out information services such as consultation and delivery of medical information and the settlement of inter-patient consultation, and build a two-way referral information platform, which will play a leading role in the convenience of public medical treatment.
(10) the reform and leadership group, which is mainly responsible for the head of the comrade, shall be responsible for the implementation of the reform and implementation. We have pushed forward the reform of the central management hospital. We should deepen reform of the internal operation mechanism, continue to improve medical services, improve the measures for the convenience of the people, and mobilize the enthusiasm of medical staff to participate in the reform. In the course of reform, we should strengthen communication with the relevant departments of the ministry and the relevant departments, and report the important situation in a timely manner. Has not yet opened the committee JuShu tube of the reform of hospital, according to the implementation of public hospital reform scheme and its practice, to make the hospital comprehensive reform work plan and emergency plan, item by item, task decomposition reform, establish working parameter, the inverted schedule, clear roadmap, compaction, the blame it for real. To make the cost calculation and economic operation situation analysis, provide the basis for the relevant departments to set up the medical service price adjustment plan, and actively seek the policy support.
(11) to the medical personnel and administrative personnel to conduct employee training, completes the ideological mobilization, business training, emergency drill, ensure that all employees know, full participation, full implementation, lead all staff of the hospital with a high degree of ownership reform, support, the reform main body consciousness responsibility. To strengthen the reform policy propaganda, registered in hospital, outpatient and hospitalization and settlement concentrated place additional policy advocate, usher, the patient with the masses understand the form of language, can read, with the interpretation of the reform policy, the promotion of reform, guide the reasonable expectations, timely response to social concern, to reform and create a good environment for public opinion.
3. The relevant departments and local departments should actively support the reform of the management of the department
(1) implementation of government input and regulatory responsibilities. The central government has increased its investment in basic construction and equipment acquisition and key discipline development of the central government hospitals in line with regional health plans, and has strictly prohibited the construction of debt. The central government as a whole consider canceling drug addition, promote the comprehensive reform of public hospitals to appoint JuShu tube hospital reward subsidies, to set up the modern hospital management system, the reform progress fast and good effectiveness, hospital and cancer, mental illness and other specialized subject hospital to tilt. Implementation of the national health and family planning commission about to carry out comprehensive performance appraisal committee belongs to who hospital notice (countries who restructuring hair [2017] 11), establish a function orientation, job performance, cost control, operational performance, financial management, cost control, personnel training, scientific and technological innovation, and satisfaction as the core of comprehensive performance evaluation system, a comprehensive performance evaluation, the assessment results and subsidy funds.
(2) the relevant provinces (municipalities), undertake fully implemented at various levels and of the main body of public hospital reform, hospital will appoint JuShu tube into the local scope of public hospital reform as a whole to consider, guiding committee JuShu tube city hospital reform and policy measures. The local authorities who undertake the task of local command will be given reasonable subsidies. We should fully consider the well-known management hospital |
