Application for the implementation of national essential drugs

(a) the main body to submit a written application to the main body of the rural community health service station, on December 16, 2010 ~ 17, to the County Medical Reform Office (Department of Health, the first room on the east side of the first floor) to report the "Hai'an County, rural community health service stations to implement the national basic drug system application," to be clear that the independent setup and hospitals and stations together, and commitment to the implementation. Application with the service station job set up with the proposed list of personnel to be reported to the Health Bureau, the specific time to see the "Haian County Rural Community Health Service Station jobs and personnel approved schedule. (B) the basic drug procurement declaration and clean up of off-catalog drugs 1. service station equipped with and use of the types of drugs service station required to be equipped with and use of basic medication varieties by the County Health Bureau to determine the unified, mainly including two major blocks, one is the national basic drug directory of the 307 kinds of drugs; the second is to ensure that the service station's basic medication, the county in the original rural doctors within the scope of the basic medication catalog, the unified selection of the determination of a small number of 50 kinds of additional drugs*** for chronic diseases and transferred patients, of which 44 kinds are in the provincial additional catalog and 6 kinds are in the rural doctors' drug catalog. All of the above medicines are in the New Farmers' Cooperative Catalog. At this stage, each community health service station is generally equipped with no fewer than 150 types of drugs to ensure that the service station's diagnosis and treatment needs. Service station additional drug directory, according to the actual needs of the community diagnosis and treatment, will be unified by the county to organize regular adjustments. 2. Service station drug procurement service station basic drugs in strict accordance with the "Hai'an County Community Health Service Station basic drugs centralized purchasing and unified distribution of the management approach (for trial implementation)" for the procurement, storage, warehousing, allocation of collaterals, drug settlement. The basic drugs of all service stations in the county are uniformly procured by their organizing bodies (including central health centers and private hospitals) on behalf of the organizing body, and if the organizing body is the village committee, it is still procured on behalf of the medical institutions originally designated by the County Health Bureau. All service stations in the county uniformly use the basic drug specification catalog selected and determined from the bidding (shortlisted) products of basic drugs in Nantong City. In accordance with the procurement process stipulated by the province and city, the county as a unit, in "Jiangsu Province medical institutions drug online procurement and supervision platform" on the centralized procurement. Procurement process of basic drugs (see the operation flow chart of centralized procurement and unified distribution of basic drugs for community health service stations in Haian County) (1) Each service station regularly reports the basic drug requisition plan to the main body of the service station or to the purchasing unit designated by the county, in principle 1-2 times a month, or at any time according to the needs of the declaration, and all the requisitioned medicines must be in the scope of the catalog of basic medicines of the service station formulated by the competent health department of the county, and must not be purchased from other channels. No drugs shall be procured from other channels. (2) After the organizing body has classified and summarized, combined with the normal inventory needs, it prepares the paper "Hai'an County Essential Drugs Procurement Plan Approval Form", indicating the name, dosage form, specification, manufacturer, unit price, unit, quantity, amount and distribution enterprise of the drugs, and submits it to the person in charge of the unit for approval, with the original document on file for examination. (3) the organization of the main body of the online procurement staff to the County Office of Basic Drugs telephone for "Jiangsu Province, the online procurement of drugs for medical institutions and regulatory platform" of the current login password (County Office of Basic Drugs for the issuance of the password registration, passwords randomly changed), the preparation of online procurement plan, the pharmacy department responsible for the initial review, telephone reported to the County Office of Basic Drugs for approval. (4) The County Office of Basic Drugs will submit the procurement plan submitted by each organizing body for approval and approval, and then submit it online to the corresponding distribution enterprises. (5) Distribution enterprises read, immediately organize the preparation, delivery, delivery to the main body within the specified time (first aid, emergency drugs in principle require delivery within 4 hours, general drugs delivered within 24 hours, no more than 7 days in special circumstances) (6) the main body of the pharmacy received into the warehouse, the online response to the completion of the service station subscription for basic drugs after the distribution, immediately notify the service station to send people to dial to collect. (7) The organizing body that undertakes the task of purchasing basic drugs on behalf of the service station is responsible for settling the payment with the distribution enterprise. The payback cycle for basic drugs does not exceed 2 months. (8) Starting from December 31, 2010, all medicines in the service stations are sold at zero-differential prices. Compound aminobarbital, wheezing, grass coral tablets, cleanliness, band-aid, compound phenethylpiperidine and other 6 in the rural doctors medication directory of drugs, medical materials and equipment, temporarily organized by the main body of the original channels of procurement and allocation, and the gradual implementation of the county Drug Recruitment Office of the unified procurement bidding.3. 3. Outside the directory of drugs clean up (1) from now on, to stop to the service station to stop the allocation of the Department of Health to determine the basic use of drugs in the station variety of drugs, the basic use of drugs, the basic use of drugs for medical treatment. (1) From now on, stop allocating to the service stations drugs other than those determined by the Health Bureau as basic drug varieties for the service stations. (2) On December 30, 2010, the county as a whole conducted an inventory of medicines for rural community health service stations implementing the basic drug system, and the organizing body must send someone to attend and take responsibility for ensuring that the inventory results are accurate. Drugs in the basic medicine catalog and non-catalogue drugs at the service stations should be registered separately, and their specifications, quantities, amounts and expiration dates should be counted separately. (3) For the drugs in the stock of service stations that belong to the drugs in the basic medication catalog, they can be placed in the service stations for continued use, but the retail price must be adjusted to the purchase price and sold at zero-differential rate from January 1st onwards. After the basic end of the use of the stock of drugs, the use of online centralized purchasing and uniform distribution of basic medicines will be enabled. (4) After the end of the inventory, all off-catalog medicines are taken off the shelves and may not continue to be sold. All medicines that do not affect secondary sales will be recovered by the organizing body or the drug purchasing unit, re-inventoried, and subjected to appropriate financial treatment. Because of damaged packaging, mold, expiration, deterioration and other drugs that can not continue to sell, register the specification, quantity, hospital purchase price, the total amount, packaged and brought back to the hospital for sealing, the list was faxed to the County Office of Basic Drugs on December 31st to wait for processing. Drugs purchased privately from other channels in violation of the regulations will be removed from the station and will not be allowed to continue to be sold. The implementation of the implementation of the basic drug system in the central health hospitals according to the Bureau of the special meeting requirements to implement. (C) service station positions approved and staffing work 1. Approval of the number of positions: the number of positions of the service station personnel, according to the total population of the service area of about 1 ‰ for approval, to 3-5 people per station is appropriate, of which at least one female health technicians. The total number of service station personnel positions involved in each organizing body shall be determined uniformly by the county. Each organizing body may make appropriate adjustments according to the service function of each service station, the actual service population and the service demand of the residents and other factors, but the total number of posts of each service station shall not be higher than the total number of persons approved by the county for each station. 2. The staffing of the service station shall implement the access system, and no non-health technician shall be used for health care work. Each organizing body shall staff as many personnel as possible who meet the qualifications for induction according to the number of posts set for the service stations finally approved by the county. The health condition of the personnel on duty meets the requirements for induction. Rural doctors who have not reached the retirement age and who hold a valid Rural Doctor's Practice Certificate are given priority for induction, and the insufficient personnel can be supplemented in the following ways: (1) those who hold a Physician's Practice Certificate or an Assistant Physician's Practice Certificate that has been registered by the administrative department of health; (2) those who hold a Nurse's Practice Certificate that has been issued by the Provincial Department of Health and registered by the County Health Bureau; (3) those who have reached 60 years of age in the case of men, 55 years of age in the case of women, and are in good health. (3) Rural doctors who are 60 years old for men and 55 years old for women, are in good health, and hold a valid Rural Doctor's Practice Certificate. In principle, men are less than 65 years old and women are less than 60 years old; (4) people who have obtained secondary specialized education or above in medicine and health; (5) in-service and retired health care personnel of township medical institutions. The staff of the station implement the employment system. Candidates by their own application, the organizing body recommended by the township health office, the township government agreed to the initial examination and reported to the county health bureau approval for the record. Recruited personnel and the organizing body to sign a labor agreement or employment contract, the nature of its identity remains unchanged, the original social security payment categories and channels remain unchanged. Service station chief priority from the outstanding rural doctors, must have a rural doctor or the corresponding practice qualification; from the hospital assigned to serve as station chief, must be normal in the community health service station work, and have the corresponding practice qualification. 16th ~ 17th County Health Bureau organization of the county's various community health service station positions and the proposed recruitment of personnel approved by the hospital director according to the "Hai'an County Rural Community Health Service Station Positions and Personnel Approved time schedule" determined by the time, bring the "2011 Hai'an County rural community health service station number of positions approved form", "Hai'an County rural community health service station to be hired personnel application form", "Hai'an County rural community health service station to be recruited staff summary form", "Hai'an County rural community health service station director to be recruited candidates declaration form", and "the Hai'an County rural community health service station to implement the national basic Drug System Application", "Haian County primary health care institutions to implement the basic drug system organization", "Haian County 2011 rural community health service station medical indicator declaration form" and other punctual participation.