China's medical institutions are composed of a series of health institutions that carry out disease diagnosis and treatment activities. Hospitals, health centers are the main form of medical institutions in China, in addition, there are sanatoriums, outpatient clinics, clinics, health clinics (rooms) and first aid stations, etc., *** with the composition of China's medical institutions.
Medical institutions practicing according to law self-correction report 范文一：
In order to further strengthen the awareness of medical institutions practicing according to law, to combat illegal practice, to strengthen the supervision of health and family planning administrative departments of medical institutions, to improve the quality of medical services, and to protect the safety of medical care, according to the xx City Health and Family Planning Commission "on the implementation of the Notice of Comprehensive Law Enforcement Inspection of Medical Institutions" (Guangshi Health Office [2016] No. 78), the Municipal Health and Family Planning Commission organized the relevant personnel of the Comprehensive Supervision Section, Medical Affairs and Medical Management Section and the Health Law Enforcement Detachment to carry out a supervisory inspection of comprehensive law enforcement inspection of medical institutions in the city from May 23rd to 28th. Now the relevant information is notified as follows:
First, the basic situation
The inspection *** sampling including municipal medical institutions, including 30 medical institutions, of which, two public medical institutions above the third level, five public medical institutions above the second level, other public medical institutions, four private medical institutions, nine private health care institutions, township health center 10. For the daily supervision of the medical institutions found more problems, the public reflected strongly, focusing on the medical institutions to see whether there is a contracted department rental or contracted departments in disguise, whether beyond the approved registration of diagnostic and therapeutic subjects to carry out diagnostic and therapeutic activities, whether the use of non-health technicians engaged in medical and health care technology, whether the naming of health care institutions is standardized to carry out the prohibited clinical application of medical technology in accordance with requirements For the record, whether there is any behavior of carrying out prohibited clinical application of medical technology. The inspection team will inspect the situation on-site feedback to the inspected units, at the same time, the problems found in the form of "health administrative law enforcement proposals" sent to the districts, cities and counties of the Health Bureau, in order to urge the rectification of the implementation of in place, and the discovery of violations of the law according to the investigation.
Second, there are problems
(a) the management of medical institutions: the vast majority of medical institutions can apply for calibration on schedule, in accordance with the health administrative department approved the registration of diagnostic and therapeutic subjects to carry out diagnostic and therapeutic activities, and has not been found to rent out contracted departments or rent out contracted departments in disguise. However, from a general point of view, the awareness of the medical institutions to practice according to law, medical quality still needs to be improved, and the phenomenon of illegal practice still exists. First, there is still the phenomenon of using non-health technicians. Inspection found that most of the private medical institutions have a relative lack of qualified health technicians, and ultrasound room, radiology and laboratory and other functional auxiliary departments is most obvious, there are qualified personnel are not in the post for a long time, do not have the qualifications to issue the relevant inspection report card phenomenon. At the same time, private medical institutions and township health centers and other primary health care institutions have a lack of qualified pharmacy staff, there is a general phenomenon that does not have the qualification of pharmacy personnel audit, issue of drugs; individual health care institutions registered address is not timely change to carry out diagnostic and therapeutic activities or registered in the hospital of the practitioner is not on duty. Second, the department set up, naming is not standardized, there are still individual medical institutions set up departments or additional departments. Third, the management of occupational radiation is not standardized. The inspection found that individual medical institutions did not obtain the "radiation treatment license" or did not carry out radiation treatment activities on time, copies of unregistered ray device details, radiation staff did not wear personal dose detector, did not carry out pre-job physical examination. Fourth, the management of medical records and prescriptions is not standardized. There are medical records are not timely, imperfect, print medical records are not printed in a timely manner and signed by the physician, unqualified personnel writing medical records supervising physician did not review the signature in a timely manner, prescription writing, medication is not standardized and other issues.
(ii) the clinical application of medical technology management: the city's existing record of 15 medical institutions to carry out the second category of medical technology, there is no record of medical institutions to carry out the third category of medical technology. Recorded to carry out the two types of medical technology is mainly concentrated in the second level of medical institutions, and to carry out more than three endoscopy, hip and knee joint replacement technology. From the inspection, among the 30 medical institutions sampled, 23 did not carry out restricted clinical application of medical technology, 6 have been filed in the administrative department of health and family planning as required, and 1 carried out hip replacement technology without filing. Record of medical institutions, individual medical institutions can not provide the record announcement, to carry out the management of medical technology is not standardized, and did not establish the relevant rules and regulations.
(C) medical advertising management: some medical institutions hospital medical publicity is not standardized, such as listing? The first time I saw this, it was a very good idea for me to go to the hospital and see if I could get some help. The company's website has been updated with the latest information on the company's website, including a list of its products and services. The expert? , exaggerated therapeutic effects of medical technology publicity. The business sector has not received a request to revoke the diagnosis and treatment subjects or revocation of the license to practice medicine.
(d) medical institutions named management: the overall situation, the public medical institutions named more standardized, some private medical institutions named to be further standardized. Such as involves the use of geographical name is not standardized name of medical institutions, such as: neighboring Chuandong Hospital, neighboring Southwest Stomatological Hospital, xx Citizen's Hospital; the use of harmonic produces ambiguity or mislead the patient's name of the medical institutions, such as neighboring Concordia Hospital, neighboring Huaxi Hospital, xx Huaxi Hospital, Wusheng Boai Hospital, Wusheng Huaxi Hospital.
Three, the next step in the work requirements
(a) sort out the problem, according to the law investigation. The local units should be found in this inspection as a clue to the problem, carefully sort out the problems, the organization supervision and law enforcement agencies to further investigate the evidence, the medical institutions of violations, once verified, resolutely in accordance with the "Medical Institutions Management Regulations" and other relevant provisions, in accordance with the law to investigate and deal with, and will not be tolerant of the situation.
(2) Strengthen the daily supervision and management. Local units should attach great importance to this work, the jurisdiction of the medical institutions to strengthen the day-to-day management, urging medical institutions to regulate the practice of behavior. First, standardize the setup and management of medical institutions. It is strictly prohibited to rent out contracted departments, use of non-health technicians, and over-scope of practice. Second, strengthen the supervision of clinical application of medical technology. Strengthen the supervision of the clinical application of medical technology in this jurisdiction, and include the clinical application of medical technology in the focus of daily supervision. Third, strengthening the management of medical advertisements and carrying out review and licensing work in accordance with the law. Fourth, further standardize the naming management of medical institutions.
(C) to strengthen the review of medical institutions calibration. Proposed school inspection of medical institutions, a strict review of relevant documents, cases and materials, whether in line with the "basic standards for medical institutions", does not meet the "Regulations on the Administration of Medical Institutions", "medical institutions inspection management approach" relevant requirements, ordered to rectify the deadline, given one to six months of the suspension of the inspection period, the suspension of the completion of the inspection period is not able to pass the inspection by the registration authority cancellation of its "medical institutions license to practice
All the problems listed in the inspection supervision, the responsible unit by the end of July to rectify in place, overdue rectification or rectification is not in place, depending on its situation into the end of the year performance target management part. Rectification report before the end of July to report to the Municipal Health Commission integrated supervision section.
Medical institutions practicing according to law self-correction report model:
2014-2016, Zhejiang Province, all levels of health supervision institutions for three consecutive years to carry out medical institutions? Law practice guarding health? Action, the results are remarkable.
A summary of the action
Since 2011, the provincial Department of Health in the province to carry out medical institutions in accordance with the law to guard the health of the action, the requirements of all levels of health administrative departments to take the training and publicity, according to the law to supervise, interviews and penalties, notification of the points, rectification and review of the measures to regulate the various types of medical institutions at all levels of practice behavior. At the same time, the provincial health department organizes a variety of forms of inspection each year: 2011 by the Office of the leadership team to inspect provincial hospitals, the city health bureau on-site observation and inspection; 2012 to implement the inter-municipal? Push mill type? Inspection, each city health bureau team to inspect each other, the provincial Department of Health on the results of the inspection notification; 2013 to carry out the provincial inspection of the city, city inspection of provincial hospitals. In 2013, the provincial department of health will carry out the provincial inspection of municipal hospitals and the municipal inspection of provincial hospitals. The company's main goal is to provide the best possible service to its customers.
Second, the supervision situation
Three-year action, the province *** deployed 281,859,000 health supervisors, supervision and inspection of medical institutions 145,289,000 times, each year, supervision coverage rate of 100%, *** and 73,335,000 health care institutions signed the "commitment of health care institutions in accordance with the law,". Distributed 100,000 copies of the "medical institutions practicing law legal obligations", 10.208 million medical institutions violating the law and regulations for interviews and signed the record of interviews.
Before carrying out the action, each place has held a meeting to carry out the law practice guarding health action to publicize and deploy; the action of each place in combination with the actual situation, to take a variety of forms of supervision and inspection, such as Huzhou, Quzhou, Jinhua, Lishui to carry out the ? Law enforcement month? In the form of the city's health bureau team of all the city's more than two medical institutions to carry out inspections; Hangzhou, Ningbo, Shaoxing, hospitals to draw hospital sensory, nursing, medical quality control and other experts to participate in the joint law enforcement; Wenzhou City, the organization of more than two medical institutions to carry out inter-county counterparts to inspect each other supervise; Lishui thematic issue of a letter of recognition of the action of the performance of the outstanding units and individuals.
Three administrative penalties
Three years of action, the province's various types of medical institutions at all levels of warning 2019, punished 4,000, fined 19,227,800 yuan, confiscated the illegal income of 2,288,800 yuan, and 12 households were given a suspension of the school inspection, the revocation of the "medical institutions practice permit" 83, revoked the Medical personnel practicing certificate 15 people, malpractice points 10023.
The action investigated and dealt with a number of typical cases of irregularities such as kidney transplants, and according to the law to increase the large public health care institutions illegal administrative penalties, only the provincial and municipal hospitals penalized 39 times, a fine of 181,200 yuan, malpractice scores 50; a strong standardization of medical institutions, especially large public health care institutions in accordance with the law of the practice of behavior.
Fourth, the effectiveness of the action
After three years of action efforts, not only the medical institutions of the law management awareness and practice according to the law improved year by year, improve, health administrative departments in the management awareness of the law, according to the law regulatory mechanism, according to the law of the regulatory capacity has also been significantly improved. The main performance in:
1. Medical institutions management awareness of management by law has improved, the practice of law improved year by year. Action found in the number of medical institutions in violation of the law continues to decrease year by year, and the problem of violations of the law can be proactive rectification in place. At the same time, through the action to carry out since the medical institutions administrative penalty case analysis found that the medical institutions ? principle? Violations of the law have been significantly reduced. Such as? over the approved scope of practice to carry out diagnosis and treatment? The number of cases of unauthorized radiotherapy equipment has decreased significantly. Radiological diagnosis and treatment equipment without authorization? More serious violations of the law year by year significantly reduced.
2. Health administrative departments to enhance the awareness of the administration of law. Through the action to strengthen the health administrative departments at all levels of? The law practice guarding health? Special action to recognize the leadership of the degree of attention to improve year by year, the increasing awareness of administration by law, the penalty cases of violations of the medical institutions above the second level increased year by year, reversing the previous public medical institutions, especially above the second level of medical institutions? only investigation and impunity? The situation.
3. According to the law, the regulatory mechanism is more complete, according to the law, the regulatory capacity continues to strengthen. The initial establishment of a comprehensive law enforcement mechanism covering medical administration, disease control, hospital infection, quality control, the establishment of a relatively unified regulatory standards, enriched with provincial and municipal cities linkage, level audit, cross-checking, and other forms of supervision; at the same time, medical and health care law enforcement capabilities continue to improve, especially in the management of hospital infections and? Medical technology The company's main goal is to provide the best possible service to its customers, and to provide the best possible service to its customers.
V. Next Steps
1. Further consolidate and enhance the results of the supervision of medical institutions in accordance with the law
According to the new round of health care reform put forward? By 2020, the general establishment of a relatively complete medical service system? The public hospital comprehensive reform?
2. Further improve the regulatory mechanism according to law
Health administrative departments at all levels to further establish the awareness of the administration of law, the effective implementation of the responsibility of the medical institutions of the law, the establishment of a comprehensive regulatory mechanism, the implementation of the preventive review of the medical institutions licensing system, strict medical institutions licensing verification of the comprehensive review system, and to further promote the regulation of the law to the vertical and deep development.
3. Further enhance the ability to regulate the practice of law
Each region should strengthen the comprehensive law enforcement capacity building, through the law enforcement theory system training, practice base training, teaching and learning, skills competition, etc., to comprehensively enhance the ability to regulate the practice of law. At the same time to import industry management mechanism, give full play to the medical quality quality control center, medical association, nursing association and other technical support role; in addition to innovative information technology supervision, the establishment of law practice supervision information system, and gradually promote the implementation of online monitoring of medical waste, disinfection and hospital infection control, improve the timeliness and effectiveness of supervision.