Minister of Health Ma Xiaowei said at a national conference on the supervision of medical services, the Ministry of Health will be selected from 100 national-level quality hospitals to produce a three-tier special hospitals, the selection process does not emphasize the size of the hospital, and do not blindly compare the hardware.
It is understood that the Ministry of Health will carry out the creation of 100 high-quality hospitals across the country, plans to the end of 2011, the creation of 100 national high-quality hospitals, 300 provincial high-quality hospitals and 500 high-quality county hospitals across the country. 100 national high-quality hospitals and 300 provincial high-quality hospitals will be generated from the review of the third-level hospitals. Specific programs and selection criteria are being developed. China's hospitals are categorized into first, second and third levels based on their functions:
Primary hospitals
Primary hospitals that provide integrated medical, preventive, rehabilitative and health care services directly to the community are primary health care institutions. Its main function is to provide primary prevention directly to the population, in the community management of multiple diseases and common disease patients and the correct referral of difficult and serious cases, to assist high-level hospitals to improve intermediate or post-hospital services, and rational triage of patients.
Second-level hospitals
Regional hospitals that provide medical and health services across several communities are the technical centers of regional medical prevention. Its main functions are to participate in guiding the monitoring of high-risk groups, to receive first-level referrals, to provide operational and technical guidance to first-level hospitals, and to be able to conduct a certain degree of teaching and scientific research.
Tertiary hospitals
Trans-regional, provincial, municipal, and nationwide health care services to the hospital, is a comprehensive medical, teaching, scientific research capabilities of medical prevention of technical centers. Its main function is to provide specialized (including special specialties) medical services, solve critical and difficult cases, accept secondary referrals, business and technical guidance to lower hospitals and training of personnel; to complete the cultivation of a variety of high-level medical professionals teaching and undertake the task of scientific research projects above the provincial level; participate in and provide guidance for the work of first- and second-degree prevention.
The delineation, layout and setup of the first, second and third level hospitals are to be decided by the regional (i.e., administrative divisions of cities and counties) health authorities based on the unified planning of the population's demand for medical and health services. The level of hospitals should be relatively stable in order to maintain the integrity and rational operation of the three-tier medical prevention system.
Based on the comprehensive level of hospitals, China's hospitals can be divided into three levels and ten classes, namely: First and second-level hospitals are divided into A, B and C, respectively. Third-level hospitals are divided into special, A, B, C four. Hospital classification standards and indicators, the main content should be:
(1) the size of the hospital, including beds set up, construction, staffing, departmental settings and other four aspects of the requirements and indicators;
(2) the hospital's technical level, that is, with the level of hospital level corresponding to the level of technology, the requirements and indicators in the standard by department;
(3) medical equipment;
(4) the level of hospital management, including the quality of the director, engaged in management, information management, modern management techniques, hospital infection control, resource utilization, economic efficiency and other seven requirements and indicators;
(5) the quality of the hospital, including the quality of diagnosis, quality of treatment, quality of care, quality of work, quality of the overall quality of the requirements and indicators. China's current hospital grading standards, mainly at all levels of first-class hospitals as a benchmark. First-class hospital standards, is the current, or within the next 3-5 years to meet the state, hospital management and health related requirements of the standard, is the same level of hospitals in the advanced hospital standards, but also in the future construction of new hospital standards. First, the nature of
Hospital Accreditation Commission is under the leadership of the health administration at the same level, independently engaged in hospital accreditation of professional organizations.
Second, the level and work tasks
Hospital Accreditation Committee is divided into ministerial, provincial, local (municipal) level accreditation committee at three levels. Accreditation committees at all levels of work are:
1. Ministerial Accreditation Committee, organized by the Ministry of Health, is responsible for reviewing the three special hospitals, the development and revision of hospital grading and management standards and implementation of the program, and at all levels of the local v. Review results of the necessary spot checks and reviews.
2. Provincial accreditation committee, organized by the province. Autonomous regions and municipalities directly under the Central Health Department (Bureau) organization, responsible for reviewing the second and third class A, B, C hospitals (including the second and third class hospitals in the planned cities).
3. Local (municipal) level review committee, organized by the local (municipal) Health Bureau, is responsible for reviewing the first level A, B, C hospitals.
3. Composition of the Accreditation Committee
The Accreditation Committee is hired by the health administrative department at the same level with experience in hospital management. Medical education, clinical, medical technology, nursing and finance and other relevant aspects of the experts composed of a number of people. Members must be decent style, clean and fair, no favoritism, good health, and can personally participate in the assessment work.
Four, the evaluation committee's working system
The evaluation committee at all levels to develop a working constitution, establish and improve the working system. Strictly abide by national laws and regulations on integrity building, diligence and thrift. Hospital accreditation generally goes through five stages, namely, self-examination and declaration, qualification assessment, assessment and inspection, making assessment conclusions, and approval. In addition if the hospital has different opinions on the evaluation conclusion, it can apply for a review.
1. Self-examination declaration. Hospitals at all levels in accordance with the hospital grading management standards for self-examination, that meets the standards of a certain level of a class, fill out the "hospital accreditation application" in several copies, to the appropriate accreditation committee to apply.
2. Qualification assessment. Accreditation Committee according to the application of the hospital's application in a timely manner for preliminary examination, to confirm the qualifications to participate in the assessment.
3. Assessment and inspection. Hospital Accreditation Committee of the hospital to implement the usual focused spot checks and cycle review of the hospital combined with the assessment and inspection. During the evaluation process, the hospital should provide the accreditation committee with a variety of real information and circumstances required.
4. Conclusion of the evaluation. Accreditation committee should be assessed by the hospital to make the conclusion of the level and grade, and put forward an official report to the same level of health administration. Where the declaration of the third-class hospitals, should first be reported to the provincial review committee through the review of the third-class hospitals, and then by the provincial review committee based on the results of the review to decide whether to recommend it to the ministerial review committee to participate in the review of the third-class hospitals.
Hospitals with different opinions on the evaluation conclusions, can receive the official notification of the evaluation conclusions: within one month to the evaluation committee requesting a review, the evaluation committee to study and report to the same level of health administration department to decide whether to review, the review is limited to one time.
5. Approval. Approval authority for hospitals at all levels is as follows: three-level special hospitals, approved by the Ministry of Health; second and third-level A, B, C hospitals by the provinces, autonomous regions and municipalities directly under the Central Health Department (Bureau) for approval; first-level A, B, C hospitals by the local (municipal) Health Bureau for approval. (November 29, 1989)
I. Basis of grading
The basis of hospital grading management is based on the hospital's functions, tasks, facilities and conditions, technical construction, quality of medical services and the comprehensive level of scientific management. The essence of hospital management is in accordance with the principles of modern hospital management, in accordance with the scientific laws of medical and health services and the characteristics of the standardized management of hospitals and target management. Hospital setup and grading, should be in urban and rural health care network to ensure the rational structure and overall function of the principle of the health administrative departments in accordance with the local government's regional health planning to determine the unified planning.
Two, grading
Hospitals are divided into one, two and three levels according to their functions and tasks.
First-class hospitals: (the number of beds within 100, including 100. [Author's note] the same below) are primary hospitals and health centers that provide preventive, medical, health care, and rehabilitation services directly to communities of a certain population.
Second-level hospitals: (number of beds between 101 - 500) are regional hospitals that provide comprehensive medical and health services to multiple communities and undertake certain teaching and research tasks.
Tertiary hospitals: (number of beds in 501 ` above) is to provide a high level of specialized health care services to several areas and the implementation of higher education, scientific research tasks above the regional hospital. Enterprises and public institutions and collective, individual hospitals organized by the level, can be delineated mutatis mutandis. Hospitals at all levels are assessed, in accordance with the "Hospital Classification and Management Standards" to determine the A, B, C three levels, of which three hospitals to add a special class, so hospitals *** divided into three levels of ten. (Note: In actual implementation, first-class hospitals are not divided into A, B, C, etc.). The division of etc. is divided according to the hospital's technical strength, management level, equipment conditions, scientific research capacity, etc. by 1000 points.) .
The two-way referral system and the relationship of technical guidance on a level-by-level basis should be established and improved between hospitals at all levels.
Tertiary specialized hospitals and tertiary A hospitals are the most authoritative hospitals in the hierarchy.