1. This form for the medical institutions to apply to the registration authority for the renewal of the validity of the license to apply for medical institutions for special purposes.
2. Medical institution code by the registration authority in accordance with the Ministry of Health "on the issuance of & lt; health institutions (organizations) classified code certificate & gt; notice" (Wei Ban Fa [2002] No. 117) of the relevant provisions of the re-programming of 22 medical institution code and fill in.
3. Table 1 Affiliation Fill in the number of the item to be selected in the parentheses at the back, only one can be filled in.
4. Table 1 Form of Ownership Fill in the number of the optional item in the parentheses at the end, only one can be filled in.
5. Table 1 service recipients Fill in the requirements of the same 4.
6. Table 1 legal representative of the medical institution for the legal entity, fill in the name of its legal representative; medical institutions, if not the status of a person, fill in the status of a legal entity, the name of the competent authorities of the legal representative and the main person in charge of the medical institution; clinic only need to fill in the clinic's main person in charge.
7. Table 2 in the treatment subject code strong brackets with "√" fill in.
8. Table 2 medical institutions in a first-level subjects under the set of secondary subjects (professional groups), should be filled to the listed secondary subjects; not divided into secondary subjects (professional groups), only to the first level of diagnostic and treatment subjects. Under a subject only outpatient services, should be marked in the remarks column "outpatient".
9. Table 2 only to carry out specialized disease diagnosis and treatment institutions, should fill in the specialty disease subject, and in the comments column indicate the name of the specialty disease, such as cervical spondylosis specialized diagnosis and treatment institutions to fill in the "orthopedics" and with the comments column indicates "cervical spondylosis specialists".
10. Table 3 fill in the number of people in the corresponding item in each space.
11. Table 3-1 Total number of employees: by the number of paid employees (permanent and contractual). The total number of employees should be the sum of "the number of health technicians", "the number of other technicians" and "the number of administrative and logistical staff".
12. Table 3-1 Classification of personnel: The personnel of medical institutions are classified according to their current positions, not according to their specialties. The person in charge of the medical institution and the health technicians who are mainly engaged in management are recorded in the "administrative and logistical personnel".
13. Table 3-1, the first line of the number of health professionals should be "doctors of traditional Chinese medicine", "doctors of western medicine", "traditional Chinese medicine personnel", "Western medicine personnel", "testing personnel", "nursing personnel", "radiological technicians", "dental technicians" and "other health technicians".
14. Table 3-1 with medical, teaching or scientific research titles of health professionals should also fill in the "researchers", "teaching staff" in the corresponding items. "Other health technicians" include epidemic prevention, disinfection, dental technicians, physical therapy, radiology technicians, nutritionists, maternal and child health workers, midwives and other primary health technicians and Chinese medicine apprentices.
15.Table 3-2 Management personnel The head of the medical institution and all levels of management personnel of functional departments are classified according to their titles and recorded in the "management personnel", except for financial personnel.
16. Other personnel Medical equipment repair and maintenance, health promotion and other technical work.
17. Table 3 Rehabilitation personnel refers to personnel engaged in sports therapy, occupational therapy, speech therapy, physical factor therapy and traditional rehabilitation therapy.
18. Table 4 General equipment Fill in item by item according to the medical equipment standards in the basic standards for medical institutions.
19. Table 5 Discharges Refers to all hospitalizations followed by discharges. Including normal delivery and not out of the hospital maternity, hospitalized and examined and discharged without disease, untreated discharged and healthy people undergoing abortion or sterilization surgery after normal discharge and other pulmonary patients.
20.Table 5 Average number of open beds The quotient obtained by dividing the "total number of actual open bed days" by the number of calendar days in the current year (365/366 days).
21. Table 5 Actual total occupied bed days The sum of the actual number of beds occupied by each department of the hospital at 12 o'clock in the evening of each day. Includes temporary beds actually occupied.
22.Table 5 Total Actual Open Bed Days The sum of the number of beds opened at 12 o'clock each night during the year in each department, irrespective of whether or not the bed was occupied by a patient.
23.Table 5 Total Bed Days Occupied by Discharges This is the sum of the number of days that a hospitalized person was in the hospital.
24. Table 5 Average number of days of hospitalization for discharged patients: total number of bed days occupied by discharged patients/number of discharged patients
25. Table 5 Calculation of bed turnover: number of discharged patients/average number of open beds
26. Table 5 Calculation of bed occupancy rate: total number of bed days actually occupied/actual total number of open beds
27. Table 5 Average medical fee per Outpatient medical expenses (yuan) formula:
Total annual outpatient medical expenses of the previous year (yuan)/Total annual outpatient medical expenses of the previous year
Outpatient medical expenses include: registration fees, medication, examination and treatment fees, and other outpatient revenues.
28. Table 5 average inpatient medical costs per discharge (yuan) formula:
Total inpatient medical costs of discharges in the previous year (yuan)/total number of annual discharges in the previous year Inpatient medical costs include: hospitalization fees, medication, surgical fees, checkups and treatment fees, and other inpatient revenues.
29. Table 5 Average daily inpatient medical costs for discharges (yuan) Formula:
Average inpatient medical costs per discharge (yuan)/average number of days of hospitalization for discharges