ccu medical insurance standard

Legal analysis: ICU has a central monitoring station that directly observes all monitored beds. Each bed covers a wide area, the beds are separated by glass or cloth curtains. ICU is mainly admitted to: severe trauma, major surgery and must be continuous close monitoring of vital indicators and supporters; the need for cardiopulmonary resuscitation; an organ (including the heart, brain, lungs, liver, kidneys) failure or multi-organ failure; severe shock, sepsis and poisoning patients; organ transplantation before and after the need to monitor and enhance the treatment of the person. . After the condition improves, it is transferred back to the general ward. ICU equipment must be equipped with bedside monitors, central monitors, multifunctional respiratory therapy machine, anesthesia machine, electrocardiogram machine, defibrillator, pacemaker, infusion pumps, microinjectors, tracheal intubation and tracheotomy required first aid equipment. In hospitals with better conditions, they are also equipped with blood gas analyzers, microelectronic computers, electroencephalographs, ultrasound machines, bedside wire transfer machines, hemodialyzers, intra-arterial balloon counterpulsators, blood and urine analyzers, blood biochemistry analyzers, and so on. As the ICU is under modern medical equipment for the monitoring and treatment of patients whose condition is quite critical.

Legal basis: "Regulations on Supervision and Management of the Use of Medical Security Funds"

Article 2 The discretionary power of administrative punishment for supervision and management of the use of medical security funds referred to in these Measures refers to the power of the administrative department of medical security in the implementation of administrative punishments for the supervision and management of the use of medical security funds in accordance with the provisions of laws, regulations, rules and other provisions, and to take into account the facts of the violation, the nature of the violation, the circumstances, the degree of social harm and the subjective fault of the parties concerned. Considering the facts, nature, circumstances, degree of social harm and the subjective fault of the parties concerned, the authority to decide the type of administrative punishment and the range of punishment.

Article 3: These measures shall apply to the formulation of administrative penalty benchmarks and the exercise of administrative penalty discretion by provincial medical insurance administrative departments.

Article 4 The exercise of administrative penalty discretion shall be in accordance with the laws, rules and regulations, follow the legal procedures, and safeguard the legitimate rights and interests of the administrative relative.

Article V. The exercise of discretionary administrative penalties shall be consistent with the purpose of the law, to exclude the interference of irrelevant factors, the measures and means adopted shall be necessary and appropriate.

Article 6 The exercise of discretionary administrative penalties shall be based on facts, and the type and range of administrative penalties shall be commensurate with the facts, nature, circumstances and degree of social harm of the violation, and with the level of economic and social development of the place where the violation occurred. The facts, nature, circumstances and social consequences of the same or similar violations, the same administrative region, the type and range of administrative penalties should be basically the same.

Article 7 Provincial medical insurance administrative departments may, in accordance with the unified and standardized national medical insurance fund supervision and administrative law enforcement discretionary scale, for specific medical insurance fund supervision and administrative punishment matters to formulate discretionary benchmarks.

Article 8 Where there is room for discretion in the laws, regulations and rules on administrative penalties, the provincial-level medical insurance administrative departments shall, in accordance with these Measures and in conjunction with the actual situation in the region, formulate discretionary benchmarks, specifying the penalty discretionary standards and applicable conditions for reference by the regional medical insurance administrative departments in the implementation of administrative penalties.

Article IX Provincial medical insurance administrative departments should be based on the laws, regulations, rules and regulations formulated by the higher departments of the changes in the application of administrative penalty discretionary rules and the actual law enforcement work, timely revision and improvement of the department's administrative penalty discretionary benchmarks and to the State Medical Insurance Bureau for the record.