The attached:
We will deepen reform of the medical and health system in guangdong province in 2017, the key tasks
According to the general office of the state council concerning the deepening medical and health system reform in 2017, the key task of notice (countries do hair [2017] no. 37), the 2017 health reform in our province the following key tasks are put forward.
One, the research of documents
1. The formulation for promoting the development of the construction of medical association and implementation scheme. (province responsible for health and family planning commission, completed by the end of June 2017)
2. To make further reform and improve the use for producing and distributing medicines and implementation plan. (province health family planning, food and drug supervision bureau jointly led, completed by the end of June 2017)
3. To formulate reform improve the shortage of drug supply security mechanism and implementation plan. (province responsible for health and family planning commission, national policy should be completed within 3 months)
4. To establish modern hospital management system of the implementation opinions. (province responsible for health and family planning commission, national policy should be completed within 3 months)
5. To establish perfect implementation opinions of the CPC party construction of public hospitals. (province responsible for health and family planning commission, national policy should be completed within 3 months)
6. To strengthen the guidance of public hospital finance and budget management. (provincial departments in charge of and completed by the end of June 2017)
7. To develop public hospital staff performance appraisal guidance. (province responsible for health and family planning commission, completed by the end of June 2017)
8. To strengthen the health care industry comprehensive supervision of the implementation opinions. (province responsible for health and family planning commission, national policy should be completed within 3 months)
9. To support social forces to provide diverse medical service policy measures. (province responsible for health and family planning commission, national policy should be completed within 3 months)
10. For deepening psychiatry synergy to speed up the implementation opinions of the medical education development in our province. (province education department, responsible for health and family planning commission, national policy should be completed within 3 months)
11. Develop medical aid and cohesion of a serious illness insurance system implementation plan. (province department of responsible, completed by the end of June 2017)
12. Set to carry out the high value medical consumables concentration belt quantity procurement implementation plan. (province human resources social security department is responsible for, completed before the end of December 2017)
13. On the part of the urban third rate reform of public hospitals to carry out the preparation of management personnel management pilot scheme. (province public sector is responsible for, the national policy should be completed within 3 months)
14. Drug sales credit management system. (provincial food and drug supervision bureau is responsible for, the national policy should be completed within 3 months)
15. Set chain measures for the administration of medical institutions of traditional Chinese medicine and Chinese medicine chain basic standard of medical institutions (trial). (province administration of traditional Chinese medicine, and completed by the end of June 2017)
Above task only lead department, not to participate in the department.
Second, to promote implementation of the focus of the work
16. Accelerate the family doctor service signing. From the old, maternal and children, the disabled people and patients with chronic disease and severe mental disorders, such as signing service coverage reached 30%, 2017 key crowd reached 60%, all the poor into signing the family doctor service scope. Responsible for health and family planning commission (province)
17. Set grading diagnosis and treatment of common diseases in hospital, indications, norms and standards and referral process, expanding the scope of the first confirmed kind of grassroots. Responsible for health and family planning commission (province)
18. The full launch various forms of couplet of medical building pilot. In conditional city shenzhen luohu close couplet of medical hospital group mode. In the northwest region of guangdong, huizhou, jiangmen, zhaoqing and other 15 cities to carry out the pilot work of couplet of medical. Start the four 3 armour hospital specialist support to public hospitals at the county level. Exploration of couplet of longitudinal cooperative medical medicare amount paid. To carry out diagnosis and treatment, rehabilitation, long-term care service mode continuously. Health and family planning commission (province, human resources, social security hall, the administration of traditional Chinese medicine, listed in the first division for the lead department, hereinafter the same)
19. A around the province and relevant work package to ensure that allows rural hospitals and community health service center for the public class of financial supply management and public welfare institution, personnel for county county town of tube to use, merit pay amount shall not be restricted policy in place, etc. (province human resources social security hall, health and family planning commission, public, administration of traditional Chinese medicine)
20.45 home central hospitals to upgrade all start construction before the end of 2017. Complete in towns and townships transformation tasks, promoting the construction of community health service centers, village health posts standardization. Full implementation of grassroots service ability to improve engineering of traditional Chinese medicine "much starker choices-and graver consequences-in" plan of action. (the provincial family planning, departments of health, national development and reform commission, the administration of traditional Chinese medicine)
All cancelled by July 21. All public hospital drug addition (except traditional Chinese medicine yinpian), synchronous implementation of the medical service price adjustment. Expanding the scope of the public hospitals at the county level comprehensive reform model, the entire province at least building a national demonstration county. In 2017, shenzhen, zhuhai, huizhou, dongguan, zhongshan, jiangmen, zhaoqing seven city public hospital medicine proportion (excluding Chinese medicine yinpian) overall to around 30%, one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20. Promote the central, provincial hospital to participate in the army, armed police, the earthly public hospital reform. (province, health and family planning commission, national development and reform commission departments, human resources, the social security hall, the administration of traditional Chinese medicine)
22. The construction of modern hospital management system is to choose at least three pilot city, the preliminary establishment decision-making, execution, supervision and coordination, the management system of checks and balances, mutual promotion and governance mechanism. To carry out the public hospital articles of pilot. Health and family planning commission (province, human resources, the social security hall, the public sector is responsible for)
23. In huizhou salary system reform of public hospitals will be carried out pilot work. (province human resources social security department, financial department, responsible for health and family planning commission, bureau of traditional Chinese medicine)
24. Press for detailed measures, according to allow the medical and health institutions to break through the current institution wage level, allow the medical service revenue after deducting costs and in accordance with the provisions, extraction of various funds is mainly used for staff reward request, the medical and health institutions, formulate measures performance salary amount for approval separately. (province human resources social security department, financial department, responsible for health and family planning commission, respectively)
25. The public hospital medical costs an average growth rate control under 10%. Timely release municipal key monitoring indicators sort. (province health and family planning commission, financial department, administration of traditional Chinese medicine)
26. To strengthen the public hospital performance evaluation. The assessment results and the government fiscal subsidies, health care, total pay, merit pay hospital level evaluation. (province health and family planning commission, financial department, human resources social security hall, the administration of traditional Chinese medicine)
27. The study integrate employee basic medical insurance and basic medical insurance system for urban and rural residents, coverage, raise standards, to ensure treatment, to pay limits, fund management, orgnaization of service of "six unity". (province human resources social security hall, the departments in charge)
28. Medical insurance management system reform. To form a province medical insurance fund management center. Encourage conditional local pilot listed to set up the medical insurance fund management center. In zhuhai, zhongshan, dongguan three city to carry out the pilot reform of mechanism of system of medical insurance fund management. (province human resources social security hall, the public sector, health care, zhuhai, zhongshan, dongguan city people's government shall be responsible for)
29. The implementation of urban and rural residents health care financial aid by 420 yuan to 450 yuan per person per year, synchronous improve individual pay cost standard. (provincial financial department and human resources social security department is responsible for)
30. Proceed with the press disease to charge, all cities by the end of 2017 diseases is paid by the disease to no less than 100. (province human resources social security hall, health and family planning commission, national development and reform commission, bureau of traditional Chinese medicine, the departments responsible for)
31. Promotion of clinical pathway management, all tertiary hospitals and more than 90% of secondary hospitals in clinical pathway management. Expanding the scope of the pilot tertiary hospital ambulatory surgery. Health and family planning commission (province, human resources social security department, national development and reform commission, the administration of traditional Chinese medicine)
32. Comprehensive practice mainly by macro-reforms of multivariate composite, carry out according to the disease diagnosis related group (DRGs) pay for pilot. According to macro-reforms diseases around by the end of 2017 to reach more than 100. (province human resources social security hall, health and family planning commission, the departments respectively in charge)
33. The implementation of the national commercial health insurance, personal income tax policy. (provincial financial department and tax bureau, the irs, guangdong protects inspect bureau is in charge of)
34. Push in accordance with the relevant provisions of the government purchase services, support commercial insurance agency orgnaization of social forces to participate in such as health care. (province human resources social security hall, health and family planning commission, guangdong protects inspect bureau is in charge of)
35. The implementation of health poverty alleviation project. Health and family planning commission (province, human resources social security department, the department, responsible for poverty relief office)
36. Promote accurate rehabilitation services campaign for difficult basic rehabilitation services to persons with disabilities. (provincial disabled persons' federation, health and family planning commission is responsible for)
37. Long-term care insurance pilot. (province of human resources, health and family planning commission, the department of social security hall, financial department, guangdong protects inspect bureau is in charge of)
38. Promote the quality of generic drugs and curative effect evaluation consistency. To carry out the drug marketing authorisation holder system pilot work. (provincial food and drug supervision bureau is responsible for)
39. Establish and improve the shortage of drug monitoring and warning and grading system, strengthen the drug shortage of reserve. Support the construction of small breed drug centralized production base. (province) for health and family planning commission, economic and information committee,
40. Adhere to the principle of concentration belt quantity purchase, promote the implementation of public hospital drug classification procurement, foster the subject of centralized purchasing, encourage the cross-regional joint procurement and joint procurement specialist hospital. (province human resources social security hall, health and family planning commission, the departments responsible for)
41.2017 years before the end of the year, in the province of all the public medical institutions and drug procurement practices "two votes". (province human resources social security hall, health and family planning commission, food and drug supervision bureau, national development and reform commission and national economic and information commission, business hall, the irs, administration of traditional Chinese medicine)
42. Promote the establishment of pharmaceutical factory price information traceability system. (provincial food and drug supervision bureau is responsible for)
43. Do a good job in the national drug price negotiations and health care policies. (province human resources social security department is responsible for)
44. The hierarchical management for retail pharmacies classification, explore the prescribing information of medical institutions, health care billing info and drug retail spending connectivity, real-time information sharing. (provincial food and drug supervision bureau, human resources, social security hall, health and family planning commission, department of commerce is responsible for)
45. Expanding the scope of the medical security, health care medicine catalogue applies to both medical and health institutions at the local level. (province health and family planning commission, responsible for human resources social security hall)
46. The selection of parts established hospital pharmacist system pilot. The implementation of prescription review system, etc. To guide local for auxiliary, nutritional, such as high drug list specific listing, implement key monitoring. Health and family planning commission (province, administration of traditional Chinese medicine)
47. Promoting health intelligent monitoring system application, health supervision of medical institutions to the medical staff. (province human resources social security department is responsible for)
48. Start the provincial hospital and physician practice supervision information system construction, system of medical practitioners implement code only. To carry out the medical institutions and physicians and nurses electronic certification pilot work. Responsible for health and family planning commission (province)
49. Strengthen the financial operations of non-profit social do medical and supervision over the use of capital surplus management, strengthening the control of for-profit medical institutions profitability. (province health and family planning commission, the departments responsible for)
50. New recruits 4200 residents and 1080 general practitioners (assistant) standardized training for doctors, rural health personnel order directional recruit students scale to 1000, the implementation of the maternity, pediatrician job-transfer training program. For the northwest region of guangdong grassroots health institutions to establish a general practitioner AD hoc jobs. Related to the health service industry personnel training. Health and family planning commission (province, human resources and social security department, financial department, department of education administration of traditional Chinese medicine)
51. The basic public health services spending per capita fiscal subsidy standard up to 50 yuan. (provincial departments in charge of)
52.2017 years to implement the national and provincial population health information platform connectivity. Complete the 15 cities grassroots medical and health institutions management information system construction. Construction of provincial, city and county, township telemedicine network. To carry out pilot health medical big data applications. (province health and family planning commission, economic and information committee, national development and reform commission, financial department, administration of traditional Chinese medicine)
53. Start the society do Chinese pilot, perfect the measures for the management of clinic of traditional Chinese medicine for the record. (province administration of traditional Chinese medicine)
54. Push in guangzhou, shenzhen, dongguan, jiangmen, national medical combined with pilot projects. Promoting the level that occupy the home medical community combination. Promote a healthy medical tourism demonstration base construction. Health and family planning commission, the department, national development and reform commission (province, administration of traditional Chinese medicine)
55. Establish and improve the health care into the evaluation of local government requirements such as constraint mechanism, strengthen local governments and departments responsibility. Organizations to carry out the assessment of health reform. In mid hierarchical diagnostic assessment and city, county assessment to evaluate public hospital reform. Timely to carry out the reform specific inspection. (provincial health office, around the level to the listed people government, various counties (city, area) people's government shall be responsible for)
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