2, capital preparation: estimated to open how large-scale hospitals, how much money is needed, should have their own mind
3, site preparation: housing or building, prepare the relevant formalities for the use of the license
4, talent preparation: open what departments, what equipment, to what kind of Professionals and management personnel, they can not register to your new hospital practice.
5, hospital positioning: how many beds, is to run a general hospital, Chinese medicine series of hospitals, specialty hospitals, etc., the approval of various cases is not the same organization.
6, industrial and commercial procedures: joint-stock hospitals to have a charter. Industrial and commercial registration, etc.
7, tax formalities; if it is run as a for-profit hospital, the tax department registration is essential.
8, environmental formalities: environmental protection is a veto.
9, the health department for the practice license
I do not know whether the above answer is satisfactory, attached to the State Office of the latest documents, may be useful for the handling of private institutions.
The State Council issued a document proposing the inclusion of non-public medical institutions in the medical insurance fixed
December 03, 2010 18:39 China Government Network
The General Office of the State Council forwarded to the Development and Reform Commission, the Ministry of Health and other departments
On further encouraging and guiding the views of social capital
to hold medical institutions notice
The State Council issued [2010] No. 58
People's governments of provinces, autonomous regions and municipalities directly under the Central Government, ministries and commissions of the State Council, and institutions directly under the Central Government:
The Opinions on Further Encouraging and Guiding Social Capital to Organize Medical Institutions of the Development and Reform Commission, the Ministry of Health, the Ministry of Finance, the Ministry of Commerce, and the Ministry of Human Resources and Social Security have been agreed by the State Council and are hereby forwarded to you for your conscientious implementation.
Encouraging and guiding social capital to organize medical institutions is conducive to increasing medical and health resources, expanding the supply of services, and meeting the people's multi-level and diversified demand for medical services; it is also conducive to the establishment of a competitive mechanism to improve the efficiency and quality of medical services, and to improve the medical service system. All regions and departments concerned should emancipate their minds, change their concepts, and fully understand the significance of encouraging and guiding social capital to organize medical institutions. It is necessary to urgently clean up and revise the documents related to the access, practice and supervision of non-public medical institutions, formulate and improve the implementation rules and supporting documents for encouraging and guiding social capital to organize medical institutions in accordance with the actual situation, remove the policy obstacles hindering the development of non-public medical institutions, and promote the sustained and healthy development of non-public medical institutions. To strengthen the interpretation of the policy, to guide the community to correctly recognize the important position and role of non-public medical institutions in the health care system, to create a good atmosphere for social capital to organize medical institutions.
General Office of the State Council
November 26, 2010
Opinions on Further Encouraging and Guiding Social Capital to Organize Medical Institutions
Development and Reform Commission, Ministry of Health, Ministry of Finance, Ministry of Commerce
Ministry of Human Resources and Social Security
Adhering to the principles that public medical institutions are the dominant, non-public medical institutions are to be developed together, and the development of medical institutions is to be carried out in the same way. The basic principle and direction of the reform of the medical and health system is to adhere to the principle that public medical institutions are dominated by non-public medical institutions and develop together with them, and to accelerate the formation of a diversified pattern of running medical institutions. In order to implement the "Central **** State Council on deepening the reform of the medical and health system views" (China Development [2009] No. 6), "State Council on the issuance of medical and health system reform in the near future focus on the implementation of the program (2009-2011) of the notice" (State Development [2009] No. 12) spirit, improve and implement preferential policies, eliminate policy barriers to the development of nonpublic health care institutions, to ensure that nonpublic medical institutions in the access and development of medical institutions. To ensure that non-public medical institutions enjoy the same treatment as public medical institutions in terms of access, practice, etc., the following opinions are hereby put forward on encouraging and guiding social capital to organize medical institutions:
I. Relaxing the scope of access to medical institutions organized by social capital
(I) Encourage and support social capital to organize various types of medical institutions. Social capital can be in accordance with the purpose of business, independent application for profit-making or non-profit medical institutions. Health, civil affairs, industry and commerce, taxation and other relevant departments shall register in accordance with the law, and categorized management. Encourage social capital to organize non-profit medical institutions, support the organization of for-profit medical institutions. Encourage qualified personnel to operate individual clinics in accordance with the law.
(ii) adjustments and new health care resources to give priority to social capital. Non-public medical institutions should be set up in line with the region's regional health planning and regional medical institutions set up planning. When formulating and adjusting regional health planning, medical institution establishment planning and other medical and health resource allocation planning in their respective regions, reasonable space should be reserved for non-public medical institutions. When it is necessary to adjust and add new medical and health resources, under the conditions of meeting the access standards, priority will be given to medical institutions organized by social capital.
(C) rationally determine the scope of practice of non-public medical institutions. The health sector is responsible for the category of non-public medical institutions, diagnostic and therapeutic subjects, beds and other scope of practice review to ensure that the scope of practice of non-public medical institutions and its ability to adapt to the service. To meet the application conditions, with the appropriate qualifications, should be approved and issued in a timely manner the appropriate license, shall not be restricted without reason the scope of practice of non-public medical institutions.
(d) Encourage social capital to participate in the restructuring of public hospitals. To rationally determine the scope of public hospital restructuring based on regional health planning. Guiding social capital in a variety of ways to participate in the restructuring of public hospitals, including hospitals run by state-owned enterprises, actively and steadily part of the public hospitals converted to non-public medical institutions, moderately reduce the proportion of public hospitals, to promote the rational distribution of public hospitals, the formation of a diversified pattern of medical care. Priority should be given to non-public medical institutions with experience in running medical services and a good social reputation to participate in the restructuring of public hospitals. Public hospital restructuring can be in the public hospital reform pilot areas and part of the state-owned enterprises run hospitals first pilot, the health sector, in conjunction with the relevant departments to summarize the experience in a timely manner, the development and introduction of relevant measures. In the process of restructuring, in accordance with strict and transparent procedures and valuation standards for the assessment of public hospital assets, to strengthen the management of the proceeds of the disposal of state-owned assets, to prevent the loss of state-owned assets; in accordance with national policies and regulations to develop the restructuring of the unit staff resettlement approach to protect the legitimate rights and interests of employees.
(E) allows foreign capital to organize medical institutions. To further expand the opening of medical institutions to the outside world, foreign capital to organize medical institutions adjusted to allow foreign investment projects. Allow foreign medical institutions, enterprises and other economic organizations in our country and our medical institutions, enterprises and other economic organizations to set up medical institutions in the form of joint ventures or cooperation, and gradually abolish the proportion of equity restrictions on foreign capital. The establishment of wholly-owned medical institutions within the territory of China by foreign capital that meets the conditions shall be carried out on a pilot basis and gradually liberalized. Foreign capital can organize both for-profit and non-profit medical institutions. Encourage foreign capital to organize medical institutions in the central and western regions of China.
Hong Kong, Macao Special Administrative Region and Taiwan capital to organize medical institutions in the Mainland, in accordance with the relevant provisions of the priority support policies.
(F) simplify and standardize the approval process for foreign capital to run medical institutions. Sino-foreign joint venture, the establishment of cooperative medical institutions by the provincial health departments and business sector for approval, which set up Chinese medicine, Chinese and Western medicine, ethnomedicine hospitals should seek the views of the provincial Chinese medicine administration. The establishment of wholly foreign-owned medical institutions by the Ministry of Health and the Ministry of Commerce for approval, including the establishment of Chinese medicine, Chinese and Western medicine, ethnomedicine hospitals should consult the State Administration of Traditional Chinese Medicine. Specific measures to be formulated by the relevant departments.
Second, to further improve the social capital to organize the practice of medical institutions environment
(VII) the implementation of non-public medical institutions, taxation and pricing policies. Social capital organized by non-profit medical institutions in accordance with state regulations to enjoy tax incentives, electricity, water, gas, heat and public medical institutions with the same price, the provision of medical services and medicines to implement the relevant price policy set by the government. For-profit medical institutions to pay enterprise income tax in accordance with state regulations, the provision of medical services to implement independent pricing, exempt from business tax.
(VIII) will be eligible for non-public medical institutions into the scope of medical insurance. Non-public medical institutions where the implementation of the government's medical services and drug pricing policy, in line with the relevant provisions of the health insurance designated, human resources and social security, health and civil affairs departments should be in accordance with the procedures for its inclusion in the urban basic medical insurance, new rural cooperative medical care, medical assistance, work-related injuries, maternity insurance and other social security designated service scope, signed a service agreement for the management, and to carry out the same with the public medical institutions. and implement the same reimbursement policies as public medical institutions. The localities shall not take the nature of the investment body as the medical institutions applying to become the health insurance designated institutions of the audit conditions.
(ix) optimize the employment environment of non-public medical institutions. Non-public medical institutions and medical personnel signed labor contracts in accordance with the law, in accordance with state regulations to participate in social insurance. Encourage medical personnel in the public and non-public medical institutions between the reasonable flow, the relevant units and departments should be in accordance with the relevant provisions of the practice change, personnel and labor relations convergence, social insurance relations transfer, file transfer procedures. Medical personnel in the academic status, title evaluation, vocational skills appraisal, professional and vocational skills training is not affected by changes in the work unit.
(J) improve the external academic environment of non-public medical institutions. Non-public medical institutions enjoy the same treatment as public medical institutions in the evaluation of technical titles, bidding for scientific research projects and the identification of results, the construction of key clinical disciplines, clinical teaching bases in medical schools and residency training bases qualification.
All medical industry associations, academic organizations and evaluation committees of medical institutions should include non-public medical institutions on an equal footing, ensure that non-public medical institutions occupy a proportion appropriate to their status in the medical service system, and guarantee that medical personnel of non-public medical institutions enjoy the opportunity to assume leadership positions appropriate to their academic level and professional competence.
(xi) support non-public medical institutions to allocate large equipment. Support non-public medical institutions in accordance with the approved scope of practice, hospital level, the number of people served, etc., reasonably equipped with large medical equipment.
Non-public medical institutions equipped with large medical equipment, by the corresponding health departments to implement unified planning, unified access, unified supervision. Each region to develop and adjust the configuration of large-scale medical equipment planning should take full account of the development needs of local non-public medical institutions, and reasonably reserve space. The health sector in the approval of non-public medical institutions and the opening of their diagnostic and treatment subjects, the scope of their practice needs to be equipped with large-scale medical equipment and approval, where in line with the configuration of standards and the use of qualifications shall not be limited to equip.
(xii) encourage the government to purchase services provided by non-public medical institutions. Encourage the use of bidding and procurement methods, select qualified non-public medical institutions to undertake public **** health services as well as government-ordered health care to support agriculture, border support, counterpart support and other tasks. Support social capital organized by the community health service institutions, individual clinics and other non-public medical institutions to play an active role in the primary health care service system.
Non-public medical institutions in the event of major infectious diseases, mass unexplained diseases, major food and occupational poisoning, as well as natural disasters, accidents and calamities or social security and other events caused by public **** health emergencies, the government should carry out the directive tasks issued by the government, and in accordance with the provisions of the government compensation.
Encourage localities to give positive support to non-public medical institutions in terms of housing construction, equipment purchase and personnel training.
(xiii) Encourage donations to non-profit medical institutions organized by social capital. Encourage enterprises, institutions, social organizations and individuals to donate to non-profit medical institutions organized by social capital, and implement relevant tax incentives. Encourage the Red Cross, all kinds of charities, foundations and other funding to organize non-profit medical institutions, or with social capital organized by non-profit medical institutions to establish long-term counterpart donation relationship.
(xiv) Improve the land policy of non-public medical institutions. The relevant departments should incorporate the land of non-public medical institutions into the overall urban land use planning and annual land use plan, and reasonably arrange the land demand. Non-profit medical institutions organized by social capital enjoy the same land use policies as public medical institutions. Non-profit medical institutions shall not change the land use without authorization, if necessary, shall apply for land use procedures in accordance with the law.
(xv) Smooth access to information about non-public medical institutions. It is necessary to ensure that non-public medical institutions enjoy the same rights and interests as public medical institutions in terms of policy knowledge and information, data and other public *** resources **** enjoyment. To improve the transparency of information, in accordance with the relevant provisions of the information disclosure of timely publication of various types of health resource allocation planning, industry policy, market demand and other aspects of information.
(p) Improve the non-public medical institutions to change the business nature of the relevant policies. Social capital organized by the non-profit medical institutions in principle shall not be converted into profit-making medical institutions, the need to change, subject to the approval of the original approval department and the relevant procedures in accordance with the law; social capital organized by the profit-making medical institutions into non-profit medical institutions, can apply for and change procedures in accordance with the law. After the change, in accordance with the provisions of the relevant national price and tax policies, respectively.
(xvii) Improve the relevant policies for the exit of non-public medical institutions. Non-public medical institutions such as property rights change, can be disposed of in accordance with the relevant provisions of the relevant investment. Non-public medical institutions in the event of closure or bankruptcy, in accordance with the relevant provisions.
Third, to promote the sustained and healthy development of non-public medical institutions
(XVIII) guide the non-public medical institutions to standardize the practice. Non-public medical institutions as an independent legal entity, self-financing, independent accounting, independent civil liability. Non-public medical institutions to implement the regulations on the management of medical institutions and its implementing rules and other regulations and related provisions, to provide medical services to obtain the appropriate license. Non-public medical institutions are strictly prohibited from exceeding the scope of services, and illegal medical activities and medical fraud are severely cracked down in accordance with the law. Regulate the release of medical advertisements by non-public medical institutions, and strictly prohibit the release of false and illegal medical advertisements. The health department should include non-public medical institutions in the medical quality control evaluation system, through the daily supervision and management, medical institutions and regular examination of physicians and other means of non-public medical institutions and their medical personnel practice inspection, assessment and audit.
The establishment of social supervision mechanism, medical quality and patient satisfaction into the daily supervision of non-public medical institutions. Give full play to the incentive and constraint role of medical insurance on health insurance designated institutions, and promote non-public medical institutions to improve service quality and reduce service costs.
(XIX) to promote non-public medical institutions to abide by the law. Non-public medical institutions should carry out business activities in strict accordance with the nature of the registered business, the use of the tax department supervised by the characteristics of the medical and health care industry in line with the bills, the implementation of the financial accounting system prescribed by the state, according to the law of accounting and financial management, and accept the supervision and inspection of the relevant departments. The income earned by a non-profit medical institution shall be used only for the continued development of the medical institution, in addition to the reasonable expenditures stipulated. In the case of violation of the business purpose, the balance of income and expenditure for dividends or disguised dividends, the health department shall order a deadline for correction; in serious cases, shall be ordered to stop practicing in accordance with the provisions of the law, and shall be investigated for legal responsibility according to the law. For-profit medical institutions income can be used for investors' economic returns. Non-public medical institutions shall provide appropriate services to patients in accordance with the principle of clinical necessity, and inducement of medical treatment and excessive medical treatment are strictly prohibited. Health departments shall penalize and hold legally responsible, in accordance with the law, those who make improper profits and harm the legitimate rights and interests of patients. Finance, health and other relevant departments shall further improve and implement the financial and accounting systems and registration management methods for for-profit and non-profit medical institutions. Give full play to the role of accounting firms in the audit supervision of non-public medical institutions.
(xx) Strengthen the technical guidance for non-public medical institutions. Human resources, social security and health departments should be in accordance with the level of non-public medical institutions, will be included in the industry training and other daily guidance. Localities to carry out health care professional and technical personnel continuing education, skills personnel vocational skills training, general practitioner training and training and standardized training of residents and other professionals education and training, to consider the talent needs of non-public medical institutions, co-ordinated arrangements.
(xxi) improve the management level of non-public medical institutions. Encourage non-public medical institutions to implement a modern hospital management system, establish a standardized corporate governance structure, strengthen cost control and quality management, and employ professional deans responsible for hospital management. Social capital is supported to organize hospital management companies to provide specialized services. Non-public medical institutions are encouraged to adopt various methods to hire or entrust professional organizations at home and abroad with experience in medical institution management to participate in hospital management under the premise of clarifying the relationship between rights and responsibilities, so as to improve management efficiency. Guide non-public medical institutions to implement the labor contract system in accordance with the law, establish and improve labor regulations.
(xxii) Encourage conditional non-public medical institutions to become bigger and stronger. Encourage social capital to organize and develop medical institutions of a certain scale and characteristics, and guide qualified medical institutions to a high level, high technology content of the development of large medical groups, the implementation of the brand development strategy, to establish a good social reputation and word of mouth. Encourage non-public medical institutions to strengthen clinical research and talent team building.
(xxiii) Cultivate and enhance the social responsibility of non-public medical institutions. Non-public medical institutions to enhance the sense of social responsibility, adhere to the patient-centered, strengthen the construction of medical ethics, vigorously carry forward the spirit of saving lives and helping the injured, and strengthen the construction of medical personnel practice ethics and humanism education, so as to achieve the integrity of practice. Encourage non-public medical institutions to set up relief funds in accordance with the provisions of the regulations, and to carry out charity clinics and other ways to return to society. Further cultivate and improve the non-public medical institutions industry associations, give full play to its positive role in industry self-regulation and safeguard the legitimate rights and interests of non-public medical institutions.
(xxiv) the establishment and improvement of non-public medical institutions complaint channels. Non-public medical institutions can take the form of administrative litigation and administrative reconsideration to safeguard their rights and interests in access, practice and supervision. Complaints can be made to the relevant departments at higher levels, and the departments receiving the complaints shall deal with them promptly in accordance with the law and formally notify the complaining organizations of the results in writing.
(xxv) Previously, the relevant provisions of this opinion is inconsistent with this opinion, this opinion shall prevail.