Officer xuan!It is strictly prohibited to assign such tasks to medical personnel

2022-05-14 0 By

Health committee of yunnan province recently issued by the National Development and Reform Commission and other seven department of yunnan province “on further regulating medical behavior in yunnan province to promote reasonable medical examination measures” (hereinafter referred to as the “measures”) include improving the performance of the distribution system of medical institutions to deepen reform of the medical service prices further promote the reform of medical insurance payment, etc. The measures proposed at the end of 2022The measures clearly require medical security authorities to strengthen supervision over medical examinations and medical expenses within the scope of medical security and promptly investigate and punish violations of laws and regulations.Focus on the rectification of ungrounded inspection, repeated inspection, repeated charges, induced inspection, bundled inspection and other violations of the law.It is strictly forbidden to assign income-generating tasks to departments and medical staff directly or in disguised forms, so that the income of medical staff can truly reflect the labor value and technical value and achieve excellent performance and remuneration.In order to further strengthen the management of medical institutions in Yunnan Province, standardize medical behavior, and promote reasonable medical examination,According to the national health committee, the National Development and Reform Commission, Ministry of Finance, human resources, social security and other departments jointly issued by the eight “about further standard medical practice to promote reasonable guidance of medical examination (countries who medical hair [2020] no. 29), with the approval of the provincial people’s government, combined with our province reality, the following measures are put forward.Strengthening medical management and standardizing medical behavior (1) Clarifying the subject of responsibility and implementing medical treatment norms.Health administrative departments at all levels shall, in accordance with the relevant requirements of clinical diagnosis and treatment guidelines, clinical technical operation standards, guiding principles for rational drug use and clinical pathways formulated by the NHC, urge medical institutions to improve the quality of medical treatment and service, and earnestly perform their duties of supervision, management and guidance.Medical institutions to strictly implement the responsibilities for the main body of medical management, strengthen the supervision of medical staff medical behavior normative management, give full play to the medical quality management, the role of the pharmaceutical affairs management and other professional committee, to guide the medical staff in accordance with the relevant specification and the operations specifications and clinical diagnosis and treatment of medical ethics, etc., use of appropriate technologies and drugs, the reasonable diagnosis and treatment, because of illness.Medical quality control centers at all levels should play a professional role in quality control, constantly improve quality control standards, index systems and evaluation methods, and promote the high-quality development of various professional disciplines.(2) Improve the management system and standardize medical practices.Health administrative departments at all levels shall strengthen the supervision and management of the use of high-frequency and high-value medical consumables, establish a regular notification system, and promote the rational use of medical consumables;Record management and clinical application quality control of restricted medical technologies at national and provincial levels should be done well, and the quality and safety problems of medical technologies should be monitored and evaluated regularly.Medical institutions should further improve the management system, in accordance with the relevant national and provincial management regulations, timely clear and detailed diagnosis and treatment specifications of various diseases, medication guidelines, clinical paths, etc., embedded in the medical staff workstation in electronic form;Under the framework dominated by essential drugs, the list of drug use in medical institutions was adjusted and optimized regularly, the working mechanism of prescription review, comment and publicity was established and improved, and the monitoring of the use of national monitored drugs, national essential drugs, antibacterial drugs, anti-tumor drugs and cardiovascular drugs was strengthened.Medical institutions above grade II shall establish a suitability evaluation system for large medical equipment examination, evaluate the indications, necessity and positive rate of examination results at least once every six months and publicize the results in time in the institution;It is necessary to strengthen clinical application management of medical technology, clinical pathway management and health technology evaluation, and gradually improve the entry rate and completion rate of clinical pathway management, and reduce the mutation rate and withdrawal rate.By the end of 2022, 50 percent of patients discharged from tertiary hospitals and 70 percent of patients discharged from secondary hospitals should be managed according to clinical pathways.Promote resource sharing and mutual recognition of results (3) Strengthen information construction and promote the sharing of inspection data.Accelerate the realization of medical and health information sharing, strengthen the provincial health information platform, health insurance intelligent supervision platform and other information platform construction.By the end of 2022, China will complete the construction of an intelligent medical insurance supervision platform to make medical insurance supervision more precise, efficient and transparent.The rating of electronic medical records in hospitals is a prerequisite for the evaluation and review of graded hospitals. The rating of electronic medical records in grade-a general hospitals and Grade-a traditional Chinese medicine hospitals must reach grade 5 or above.Other grade III hospitals, grade II a general hospitals and Grade II A TRADITIONAL Chinese medicine hospitals shall have electronic medical record rating of Grade 4 or above;Other level II hospitals are required to achieve level 3 and above.Support and encourage the establishment of independent medical imaging centers, medical laboratory and pathological diagnosis centers, disinfection supply centers, health examination centers, and hemodialysis centers, which are integrated into the medical quality control system, and optimize the allocation of medical resources in the region through the in-depth integration of “Internet + Medical health”.Close city medical group and led the county medical community hospital should promote medical joint in the body connectivity information, carry out the quality control of medical examination, the hospital via the Internet, the Internet, remote medical treatment and so on, to provide convenient inspection service for patients, conditional place “at the grass-roots level, the superior diagnosis” shall be implemented.Medical institutions at level II and above are encouraged to provide examination services to other medical institutions within their jurisdiction.By the end of 2025, an interconnected national health information platform at the provincial, city and county levels will be fully built, and the mechanism for information sharing among medical institutions will be accelerated, and electronic health records, electronic medical records, and examination and test results will be accessed and shared among different medical institutions.(4) Strengthen medical quality control management and promote mutual recognition of examination results.Health administrative departments at all levels should strictly implement the management measures for mutual recognition of examination results of national medical institutions, and clarify the scope, work schedule, conditions, diagnosis and treatment items (contents) and technical standards of such institutions.To give full play to the role of provincial and municipal medical quality control centers such as clinical examination, pathology, ultrasonic diagnosis and X-ray diagnosis, strictly control repeated examination and examination for the same medical purpose under the premise of ensuring medical quality and medical safety.Provincial medical quality control centers regularly carry out professional quality assessment on quality control objects, issue quality control reports scientifically, objectively and impartially and be responsible for the reports. The quality control conclusions issued can be used as the basis for mutual recognition of auxiliary inspection results within the jurisdiction.In close city county medical common medical group and realize data sharing and inspection results, on the basis of mutual recognition, qualified for medical quality control and meet the requirements of the technical inspection project, according to the principle of actively yet prudently, gradual, steady implementation between medical institutions and the level in the province, the lower to higher level hospital and medical results within the couplet of mutual recognition.(5) Strengthen information monitoring and improve supervision capacity.Establish informatization supervision mechanism, and gradually achieve mutual recognition the result of the inspection items, inspection of medical institutions and information sharing, real-time monitoring, realize the advance warning, matter controls, afterwards audit, strengthen the high frequency high value and the masses to outstanding check project and unreasonable check behavior of the daily regulation, continue to enhance the rationality of medical examination.6. Strengthen routine supervision and improve long-term mechanisms.Health administrative departments at all levels should make full use of “hospital quality management and performance evaluation platform in yunnan province” data, according to the annual analysis of the main indicators of medical institutions, establish long-term effective mechanism of the implement of daily supervision, rectification, include medical examination in medical services, medical quality management, comprehensive supervision and such routine work in the medical and health industry,And the unreasonable medical examination and performance appraisal, evaluation, evaluation, such as the first link.Medical treatment ensures branch should be right bring in medical treatment to ensure the medical treatment inside limits examination behavior and medical treatment charge to strengthen supervise, investigate and punish illegal behavior in time;For those not included in the scope of medical security, strengthen monitoring and give guidance.Establish credit evaluation indexes for the supervision of medical insurance funds of designated medical institutions, and gradually carry out credit evaluation of the supervision of medical funds of designated medical institutions.Establish credit record systems for medical and health institutions and personnel, include them in the management of the national credit information sharing platform, and impose joint punishment in accordance with relevant national regulations.7. Launching special campaigns to strengthen accountability and joint accountability.The unreasonable medical examination has been included in the key rectification work of provincial medical and health practice construction, and the special treatment action of unreasonable medical examination has been actively carried out.Health administrative department under the State Council in conjunction with the market regulations, health care, drug safety and other departments in accordance with the relevant requirements of the state, combined with the actual work plan formulation in our province, the integrated use of on-site inspection, random inspection, flight inspection, supervision and management, in the form of joint inspection and problem on the basis of inspection, repeated inspection, repeated charge, induced examination, bundled check violation behavior, etc.Medical institutions and personnel in violation of relevant regulations shall be warned, interviewed, ordered to rectify and criticized, and if the circumstances are serious, the relevant responsibilities shall be investigated in accordance with laws and regulations.Implement reform tasks and strengthen policy guarantee. (8) Improve the performance distribution system of medical institutions.The public medical institutions should establish and improve public welfare as the guidance performance of the distribution system, perfect the internal assessment and allocation system, scientific and reasonable set the distribution of performance assessment indicators, encourage talents to, the key positions and frontline staff tilt, shall not be used may be induced by excessive examination and index of excessive medical treatment with the medical staff wages,It is strictly forbidden to assign income-generating tasks to departments and medical staff directly or in disguised forms, so that the income of medical staff can truly reflect the labor value and technical value and achieve excellent performance and remuneration.TCM hospitals should take the advantages of TCM as the basis for key assessment of performance allocation and guide medical staff to adhere to the direction of TCM based diagnosis and treatment.(9) Scientific equipment with large-scale medical equipment.Health administrative departments at all levels to improve scientific and binding of large medical equipment configuration planning, to the national economic and social development level, the medical technology progress and people’s health needs, in line with the medical and health service system planning, the principle of promoting regional medical resource sharing, strengthen the regulation of large medical equipment configuration and use.10. Deepening the reform of medical service pricingAccelerate the reform of medical service price in the province, dynamically adjust the price of medical service items, establish a scientifically determined and dynamically adjusted price formation mechanism, and continuously optimize the price structure of medical service.According to the relevant national requirements, the current medical service items are comprehensively sorted out, and the code, name, connotation, excepted materials, valuation unit and other elements of medical service items are standardized in a timely manner.We will accelerate the examination and approval of new medical service price items.We will strengthen the cost accounting of medical services in public medical institutions, and medical institutions should provide data such as service quantity, cost and finance to the competent authorities of medical service prices in accordance with the law.11. Advancing reform of medical insurance payment methodsWe will accelerate the establishment of multiple payment methods for medical insurance, improve the total budget method for medical insurance funds, improve the negotiation mechanism between medical insurance agencies and medical institutions, and promote collective consultation among medical institutions.We will strengthen budgetary management of medical insurance funds, formulate overall budgets in a scientific and rational way, guide medical institutions to take the initiative to control costs, and make rational examinations, drug use and treatment to give full play to the role of medical insurance funds in controlling costs.We will further intensify the examination and approval process and optimize the procedures for examining and allocating medical insurance funds.We will steadily advance the national trial of payment by DRG, and actively carry out the trial of payment by DIP based on big data.We will explore ways of paying medical insurance in line with the characteristics of TRADITIONAL Chinese medicine, select certain types of diseases, and carry out trials to promote the use of traditional Chinese and western medicine for the same diseases and effects at the same price.(12) Strengthening performance appraisal management of medical institutions.Continuously optimize performance assessment indicators and working methods, comprehensively promote the performance assessment of tertiary public hospitals and secondary and lower public medical institutions, strengthen departmental collaboration, strengthen the application of results, and gradually improve the construction of performance assessment system.Adhere to the coordination and propulsion, incentive and constraint, the results of performance appraisal as a public hospital development planning, major projects, setting up a financial investment, merit pay for approval, the important basis for health policy adjustment, the total and hospital review and evaluation, the provincial medical center and sub-center, regional medical center and key specialty construction and the recommendation PingXian work together,And with the supervision of non-public medical institutions effectively link, promote the high quality development of public hospitals in our province.Strengthen overall Planning and Implementation. 13. Comprehensively strengthen party leadership.Promote the management system construction of medical institutions under the guidance of party construction, strengthen the leadership, guidance and supervision of party construction work of medical institutions, guide medical personnel to firmly establish the concept of serving the people wholeheartedly, and further strengthen the consciousness of thinking and action in standardizing medical service behavior.Discipline inspection and supervision departments of medical institutions should strictly guard important nodes, pay close attention to key links, incorporate excessive medical inspections into important content of daily supervision, and make prevention and punishment of corruption in the process of medical inspections an important content of implementing comprehensive and strict Party governance.Party and government leading group members of public hospitals should implement “one post and two responsibilities” and strengthen the discipline, supervision and management of key departments, posts and personnel.If any violation is found, the relevant responsible person shall be given party and government disciplinary sanctions.(14) Make overall arrangements and organize implementation.The people’s governments of all states and municipalities should take standardizing medical behaviors and promoting reasonable medical examinations as key tasks in the field of people’s livelihood, strengthen organizational leadership and supervision and guidance, advance the overall reform of the medical and health system simultaneously, strengthen job guarantee, refine and divide tasks, and do a good job in the implementation of work.Provincial health commission will work with relevant departments to supervise and inspect the implementation of the situation around the city, guide the timely study to solve the relevant problems.(15) Strengthen the implementation of department responsibilities.Strengthen the coordination and linkage of departments, clarify the responsibilities of departments, refine and break down tasks, and assign responsibility to people.The health administrative departments take the lead in the overall work, and urge the implementation of projects, responsibilities and deadlines by year according to the task lists, strengthen the supervision and management of medical practices in medical institutions, and improve the standard level of medical examination.Medical insurance departments improved pricing policies for medical services, promoted reform of medical insurance payment methods, and severely cracked down on medical check-related fraud and insurance fraud.16. Strengthening publicity and guidance.State and municipal people’s governments and relevant units should intensify publicity efforts, adhere to the correct guidance of public opinion, strengthen policy interpretation, publicity and training, properly respond to social concerns, reasonably guide social expectations, effectively create a good atmosphere for reform, and improve the people’s trust in and satisfaction with health care.Statement: This article is reproduced for the purpose of passing on more information.If the source is wrong or violated your legitimate rights and interests, please contact the author with proof of ownership, we will promptly correct, delete, thank you.Email address: newmedia@xxcb.cn