Medical network - July 27 district human resources and social security bureau (medical insurance office), health and family planning commission, the relevant departments, the health care medical establishment that decide a dot, each related pharmaceutical production enterprises, the shen-kang hospital development center, city drug centralized bid procurement transaction management:
For further strengthening the construction of pharmaceutical sales field enhancement, put an end to violation behavior, commercial bribery to reduce the city's own drug "artificially high prices and reduce unnecessary at drug purchase and use, promote clinical rational drug use, further reduce ginseng protect personnel to drug expense burden, now will further strengthen the city's health medical establishment that decide a dot at drug purchase and use the administrative matters related to notice the following:
I. strengthen procurement and management of self-funded medicines
(a) of the city's health medical establishment that decide a dot to purchase drugs at one's own expenses shall be in accordance with the "on further do a good job in the city medical institutions and drug" sunshine "procurement related matters notice (Shanghai social medical [2014] no. 787) regulation, by" Shanghai medicine procurement services and regulatory information system "(hereinafter referred to as" sunshine platform ").
(2) of the city by the sun's rays to platform purchasing medicines at their own expense, to the "varieties directly network, clinch a deal price agreed" hang net procurement practices, namely the pharmaceutical production enterprise (or entrust enterprise, similarly hereinafter) initiative to the sunlight platform provides drug information and other provinces and cities price information, medical organizations must be through the sun platform agreed price and production enterprises, and the public rear can purchase clinch a deal valence on the platform. The transaction price shall not be higher than the purchase price of the same products in Beijing, tianjin, zhejiang, jiangsu, guangdong and other provincial-level pharmaceutical purchasing platforms.
(3) the pharmaceutical production enterprise shall actively provide at his own expense and drug basic information and other provinces and cities price information, and regularly updated by the regulation, such as existence of misstatement, omission, after verifying the qualifications of suspended within 1 year involving the drug screening, with the enterprise accumulated 3 times within 1 year (including) above, 1 year suspension of the business qualification of all the expenses and drug screening.
(4), the drug centralized bid procurement affairs management (hereinafter referred to as "the city of pharmaceutical affairs") on the basis of drug manufacturers offer medicines at their own expense basic information and other provinces and cities price information, as well as the purchase price, the medical establishment that decide a dot in the city history with common name dosage form other enterprise information such as price, announces the platform, reference for medical institutions bargaining, repair and maintenance of dynamic at the same time, accept their supervision.
(5) if there is no purchase quantity in the near half year, if there is no purchase amount in the current sunshine platform, the information of the hang net shall be revoked; If there is any purchase quantity, the original enterprise shall cancel the self-declared price, and the medical institution shall continue to purchase the purchase price within 90 days from the date of publication of this notice.
Ii. Strengthen the use of self-funded drugs
(6) medical institutions and doctors shall not induce or compel patients to use self-funded drugs. If it is necessary to use self-funded medicine, it shall strictly perform the written notification system, which can be used after the signature of the patient or his client.
(7) medical institutions and doctors shall not induce or compel patients to purchase self-funded drugs outside the hospital. For clinical needs, medical institutions must be equipped to ensure safe and rational use of drugs. For the small number of individual patients and the use of self-funded medicines with very little use, medical institutions should establish a sound approval or filing system if they are advised to purchase out of the hospital.
(eight) physicians prescribe at his own expense for patients with drugs, whether patients with nosocomial or lobbyists, the purchase shall be according to the medical record writing basic specification, the electronic medical record application management specification (try out) "the relevant requirements, improve own drugs in outpatient service, the hospital medical records and electronic medical records using the record.
(9) medical institutions should be hospitalized with drugs into the hospital internal management, at their own expense for the patient of all medical expenses incurred shall be issued corresponding notes, and management in accordance with the relevant financial regulations, out-of-pocket medical expenses amount shall all be included in the cash column, at the same time in accordance with the provisions, truthfully upload health care, health, family planning and related departments.
We will strengthen comprehensive supervision of self-funded drugs
(10) to handle the medical main body dealing with the medical establishment that decide a dot investment companies, lease space to operate medical devices to rectification, put an end to the medical establishment that decide a dot appear to avoid execution at the management of drug purchase and use the phenomenon of extracorporeal circulation.
(11) the relevant administrative departments of the municipality shall establish and improve the comprehensive supervision mechanism of self-funded drugs. The municipal human resources social security department is responsible for leading the organization of the procurement of self-funded drugs and supervising the procurement of medical institutions. Municipal family planning department is responsible for health administration, health functions and powers in accordance with to strengthen the supervision and inspection of out-of-pocket medical institutions and drug use, at the medical institutions to implement does not reach the designated position to be criticized, shall be investigated for relevant personnel responsibility; In the case of drug production and operation enterprises that verify the existence of commercial bribery in the case of commercial bribery, timely notify the centralized purchasing departments of pharmaceuticals to suspend the purchase qualification of pharmaceutical products. Food and drug supervision and administration department in charge of jointly with relevant departments to strengthen medical representative registration and filing management, medical representative must be strictly implemented only academic promotion, technical consulting and other activities, shall not be responsible for drug sales. The municipal price department and the regional market supervision departments shall strengthen the supervision over the sale of self-funded drug price behaviors by drug operators, and investigate the price violations and price monopolization in accordance with the law; The business administration and business departments are responsible for increasing market supervision of self-funded drugs, guiding and regulating the sales of self-funded drugs in retail pharmacies. The development and reform, economic informatization and finance departments are responsible for supporting the upgrading and upgrading of the solar platform system, so as to strengthen the procurement and management of self-funded medicines through informatization.
This notice shall be executed on the date of promulgation. The specific requirements and operation methods for the purchase of self-funded drugs shall be formulated and implemented by the municipal pharmaceutical affairs.
Shanghai municipal human resources and social security bureau
Shanghai medical insurance office
Shanghai municipal health and family planning commission
Shanghai development and reform commission
Shanghai economic and information commission
Shanghai business council
Shanghai administration of industry and commerce
Shanghai food and drug administration
Shanghai state taxation bureau
July 11, 2017
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