The basic content of hospital accreditation

New hospitals in the acquisition of "medical practice license", practice for 3 years before applying for the first review. Changes in the level of hospital settings, the change of practice for 3 years before applying for the first time in accordance with the changed level of accreditation. Hospital accreditation includes cyclical accreditation and unscheduled key inspections, of which the unscheduled key evaluation score should be no less than 30% of the total score of the next cyclical accreditation.

The Interim Measures for Hospital Accreditation stipulate that the conclusions of hospital accreditation at all levels are categorized as first-class, second-class and unqualified. Class A, B hospitals, issued by the provincial health administrative department of the Ministry of Health unified format of the grade certificate and logo. The health administrative department shall issue a rectification notice to hospitals whose evaluation conclusion is unqualified, and give them a rectification period of three to six months. The hospital shall apply for re-accreditation to the health administrative department within 5 working days after the expiration of the rectification period. Re-accreditation is still unqualified hospitals, by the health administrative department in accordance with the specific circumstances of the review, the appropriate level of the hospital to lower or revoke; there are violations of the law, according to the law, the corresponding treatment. Hospitals there are blindly expanding the scale of the review, indiscriminate purchase of equipment, waste of resources and other behaviors should be terminated review, and directly made unqualified assessment conclusion. Hospital accreditation conclusion is unqualified, the health administrative department shall give or recommend to its higher authorities to give the hospital legal representative or the main person in charge of administrative or disciplinary action.

The accreditation will explore the use of a variety of methods to carry out hospital accreditation and evaluation. In the cyclical evaluation, on the basis of reviewing the evaluation materials and on-site evaluation, the use of Disease Diagnosis-Related Groups (DRGs) and other methods to carry out the evaluation of hospitals has been added, and a comprehensive analysis and sorting and comparison of the relevant data and information reflecting the quality of medical care, the operational efficiency of hospitals, and the level of diagnosis and treatment of a single type of disease has been carried out on the basis of information on the first page of the medical case, the electronic medical record, and the hospital's information system to reflect the working status of the hospital in a more objective and comprehensive manner. This is a more objective and comprehensive way to reflect the working status of hospitals. At the same time, to explore by an independent third-party organization responsible for more scientific and objective methods and means of patient satisfaction surveys, to ensure the scientific nature of the survey process and the accuracy of the survey results.