Purpose of 2009 in the country to carry out the "quality of medical care" activities, to promote hospitals to standardize medical behavior, improve medical services, improve the quality of medical care, to protect the safety of medical care has played an important role. On the basis of summarizing the experience of the 2009 "Medical Quality Miles" activities, according to the "2010 Health Work Points", the formulation of this program.
Guiding ideology
In-depth implementation of the 17th CPC National Congress, the Fourth Plenary Session of the 17th Central Committee and the "Central State Council on deepening the reform of the medical and health system," the relevant spirit, adhering to the guidance of the scientific concept of development, adhering to the people-centered, in accordance with the relevant requirements of deepening the reform of the medical and health system, and continue to put the patient-centered to ensure the quality of medical care and medical safety, to protect the legitimate rights and interests of patients, and improve medical services. The legitimate rights and interests of patients, improve medical services, optimize the service process, and build a harmonious doctor-patient relationship as the main content, and strive to provide the people with safe, effective, convenient and inexpensive medical services, and continue to improve the quality of medical care, medical services and hospital management level, and to ensure medical safety.
Scope and theme of activities
The country's medical institutions at all levels and all types of medical institutions, blood collection and supply institutions, focusing on public hospitals.
The theme of the campaign: "Continuous quality improvement, safeguarding medical safety".
Contents and key requirements of the activities
The "Medical Quality Miles" activities focus on system construction and publicity and education, combined with the hospital management year activities, the creation of "safe hospitals", to promote the construction of the investigation, correction and construction. The goal of the activity is to improve the quality of medical care, promote medical safety, improve medical services, optimize the medical environment, harmonious doctor-patient relationship, the core of the "continuous improvement of medical quality".
(1) Continue to carry out multi-level and multi-form publicity and education to strengthen the awareness of medical quality, medical service and medical safety.
1. Health administrative departments and medical institutions should continue to strengthen the medical quality of medical staff, medical safety education and related training, and further improve the medical risk, medical safety awareness of responsibility; continue to increase the main person in charge of medical institutions, quality and safety management personnel and the management of all staff, education, updating the concept of quality and safety, and improve the level of quality management.
2. Increase the publicity and education of public health knowledge. Health administrative departments and medical institutions should make full use of relevant popular science books and educational materials, focusing on the diagnosis and treatment of chronic non-communicable diseases, the rational use of common medicines, and the third and part of the second category of medical technology, taking a variety of forms of publicity such as on-site lectures, online videos, exhibitions, special reports, etc., to guide the public to correctly understand the medical science and medical risks, the correct choice of medical treatment, medical treatment, and to enhance the awareness of the masses of medical risks and screening of false information. The masses of medical risk awareness and the ability to identify fake doctors, fake drugs, false propaganda, to protect the legitimate rights and interests of patients.
3. Organize and carry out a variety of publicity and reporting activities around the theme of "Medical Quality Miles".
(1) Give full play to the role of the press, Internet, radio, television and other media. The website of the Ministry of Health publicizes the advanced practices and experiences of the "Medical Quality Mileage" activities in various places, and coordinates the major media to carry out interviews and reports. Provincial health administrative departments to organize and coordinate the local media, do a good job in the jurisdiction of the "Medical Quality Miles" activities of publicity and reporting work.
(2) Strengthening public opinion guidance, highlighting management, quality, service and safety. We will continue to vigorously publicize new ideas, new measures and new achievements in medical quality, medical service and medical safety management, publicize the significance, requirements, good practices and experiences of this activity, and publicize the advanced models with standardized management, reliable quality and public satisfaction, so as to create a favorable public opinion atmosphere conducive to the improvement of medical quality, the promotion of medical safety, and the improvement of doctor-patient relationship.
(3) Increase the crackdown on illegal medical practice and false medical propaganda, and notify and expose illegal medical practice and false medical propaganda.
(2) to further strengthen the management of medical institutions, strengthen the sense of service, improve medical services, optimize the service process, and constantly improve the ability to provide medical services and service level.
1. Implement the Central Civilization Commission "on the in-depth development of volunteer activities of the views" and the Central Civilization Office "& lt; on the in-depth development of volunteer activities of the views of the & gt; the task of the division of labor program", the health administrative departments and medical institutions should actively explore volunteer service mode suitable for China's national conditions, and gradually improve the management system of volunteer services and work mechanism, seriously organize Carry out volunteer hospital services and medical personnel volunteer work related to promote harmonious doctor-patient relations.
2. Implementing the Ministry's "Notice on Further Improving the Management of Medical Services in Medical Institutions" (Wei medical government issued [2010] No. 12), medical institutions should improve the people's experience of medical treatment as an innovation and breakthrough point to strengthen the work of medical services, through the booking of registration, rationalize the arrangement of outpatient and emergency services, simplify the process of outpatient and emergency and hospital admission and discharge services, the implementation of the "first diagnosis and treatment, after the implementation of Through appointment booking, rationalization of outpatient and emergency services, simplification of outpatient and emergency services, admission and discharge service flow, implementation of the "diagnosis and treatment before settlement" mode, and provision of convenient and fast checking services for examination results, etc., the company has been actively exploring, innovating, and promoting measures to improve medical services in a planned and focused manner, so as to achieve reasonable arrangements, enthusiastic services, and smooth flow, and to continuously promote the improvement of the level of medical services.
(3) implement the "medical quality control center management approach (for trial implementation)" (Wei medical government issued [2009] No. 51), to strengthen medical quality management and control.
1. Health administrative departments to develop the administrative region of the quality control center setup planning, standardize the construction and management of medical quality control centers, and actively promote the construction and development of quality control centers, and gradually set up a quality control network, to carry out the quality of medical care in various specialties management and control work.
2. Medical institutions have special departments and personnel responsible for medical quality management and control work, in accordance with the relevant provisions of the health administrative departments and quality control centers to accept quality control inspections, reporting quality control information, according to the feedback to organize rectification and improve the quality of care.
3. Medical institutions in accordance with the relevant provisions of the clinical pathway, single disease quality control, cardiovascular interventional diagnosis and treatment and blood purification case information registration.
(4) Medical institutions should strictly implement the core system of medical quality and medical safety, standardize the construction of relevant departments in medical institutions, the implementation of hospital affairs. Key requirements:
1. Strictly implement the implementation of the first diagnosis is responsible for, the third level of physician room visits, difficult case discussion, critical patient rescue, consultation, pre-operative discussion, the death of the case discussion, the handover of the core system of implementation of the quality of medical care and medical safety.
2. Implement the "Basic Standard for Medical Record Writing", standardize the behavior of medical record writing, strengthen the connotation construction of medical records, and improve the quality of medical records.
3. Implement the Basic Standard for Electronic Medical Records, standardize the construction of electronic medical record system and the clinical application of electronic medical records.
4. In accordance with the requirements of the "Guidelines for the Construction and Management of the Emergency Department (Trial)" and "Guidelines for the Construction and Management of the Department of Critical Care Medicine (Trial)" and other documents, further strengthen the construction and management of the emergency department, the department of critical care medicine, the department of pathology, the neonatal ward and other key departments and key departments, so that the personnel, equipment, facilities equipped with their functions and tasks, to carry out scientific, rational and standardized medical services.
5.
5. In accordance with the "Basic Standards for Hemodialysis Units in Medical Institutions", the rules and regulations of hemodialysis units, equipment and personnel are in accordance with the basic standards.
6. comprehensively implement the system of hospital affairs disclosure in hospitals, further implement the requirements of hospital affairs disclosure as well as the Measures for Supervision and Evaluation of Hospital Affairs Disclosure in Medical Institutions (for Trial Implementation), enhance the awareness of hospital affairs disclosure in medical institutions, and promote the further optimization of the service process and the internal democratic management of medical institutions in decision-making.
(E) to further strengthen nursing care, the implementation of basic care, improve nursing services, improve the quality of care.
1. Further implement the Nurses Regulations. The establishment of sound nursing regulations, disease care routine and nursing service norms and standards, the establishment of the nurse post responsibility system, standardize the practice of nurses; safeguard the legitimate rights and interests of nurses, contract nurses and the establishment of nurses with equal pay for equal work.
2. Implement the "Notice of the Ministry of Health on Strengthening Clinical Nursing Work in Hospitals" (Wei Medical Government Development [2010] No. 7) and related normative documents, improve nursing services, and strengthen nursing management.
Hospitals should refine the service connotation and service items of graded care according to the requirements of the "Guiding Principles of Graded Care in General Hospitals (Trial)" and "Basic Nursing Care Service Items for Inpatients (Trial)" and other documents, and incorporate them into the public affairs of hospitals to be announced to patients and the society. Hospitals should effectively strengthen the organizational leadership, improve and implement the strengthening of clinical care work of the rules and regulations, to mobilize all aspects of the force for the effective implementation of the work to provide convenient conditions and strong protection, and gradually reversed by the patient's family or family members of the self-employed caregivers to undertake the situation of patients' life care.
3. Solidly carry out the "quality nursing service demonstration project" activities, do a good job of 16 key tasks. In particular, the establishment of the performance appraisal system for nurses, clinical nurses nursing patients to implement the accountability system, the hospital clinical front-line nurses accounted for no less than 95% of the total number of nurses, according to the workload of clinical care and reasonable deployment of nurses manpower to encourage the use of forms of nursing instruments, hospitals to increase funding, improve the treatment of nurses, tilted to the clinical front-line, the establishment of incentives to create a good atmosphere for practicing.
(F) implement the "management of clinical application of medical technology", continue to do a good job in the management of clinical application of medical technology.
Conscientiously carry out the implementation of the "management of clinical application of medical technology", "cardiovascular interventional diagnostic and treatment technology management norms", "gynecological endoscopy diagnostic and treatment technology management norms" and other normative documents, the establishment of the medical technology access and management system, to promote the development of medical science and the rational application of medical technology clinical. Key requirements:
1. Provincial health administrative departments to do a good job in the jurisdiction of the medical institutions of medical technology access and audit of the organization and implementation of the work, the development and issuance of the jurisdiction of the second category of medical technology directory, to guide the medical institutions to carry out the second category, the third category of medical technology before the clinical application of the third-party technology audit of the application work. Focusing on strengthening the management of cell therapy technology, it will work with provincial food and drug supervision and management departments to comprehensively sort out the situation related to cell therapy products or technologies in this jurisdiction, get to the bottom of the situation, and immediately stop the clinical research and clinical application of unapproved cell therapy products or technologies.
2. Provincial health administrative departments in accordance with the provisions of the jurisdiction to carry out cardiovascular interventional diagnostic and treatment technology and gynecological endoscopy diagnostic and treatment technology of medical institutions to implement access management, guidance and supervision of medical institutions on the clinical application of medical technology standardized management.
3. Medical institutions as the main person in charge of the organization's clinical application of medical technology management of the first responsible person, responsible for the establishment of the organization's clinical application of medical technology to establish and improve the management of the relevant rules and regulations, the establishment of medical technology management files. The first category of medical technology to carry out technical audits, strict management; at the same time to do a good job in the second and third category of medical technology before the clinical application of third-party technical audit of the application, in strict accordance with the provisions of the clinical application of the relevant medical technology.
4. Medical institutions to establish a surgical grading management system, the development of specific implementation rules and management methods, the development of the institution's surgical grading catalog, in strict accordance with the provisions of the physician's professional and technical capabilities of the audit and pass before granting the appropriate surgical privileges, and the implementation of dynamic management.
5. Medical institutions to establish medical technology risk warning mechanism, develop and improve the medical technology damage disposal plan and organization and implementation.
(7) the implementation of the "Chinese People's *** and the State Drug Administration Law", "Regulations on the Administration of Narcotic Drugs and Psychotropic Substances", "prescription management", "Interim Provisions on Pharmaceutical Management in Medical Institutions", "Guiding Principles for the Clinical Application of Antimicrobial Drugs", "Circular on the Strengthening of the National Monitoring of Rational Use of Drugs", "China's National Prescription Collection" and "Notice on Issues Relating to the Management of the Clinical Application of Antimicrobials from the General Office of the Ministry of Health". Notice on Issues Related to the Management of Clinical Application of Antimicrobial Drugs" (Medical Administration of the Office of the Ministry of Health [2009] No. 38) and other laws, regulations, rules and normative documents, and actively promote the rational use of medicines in clinical practice. Key requirements:
1. Establishment of the institution's pharmacy management organization, improve the relevant work and management system and conscientiously implement.
2. Implement the China National Formulary, formulate the institution's formulary, and seriously organize training, implementation and evaluation to promote the rational use of medication in the clinic.
3. Seriously implement the prescription review system, implement dynamic monitoring of prescriptions and over-warning, and intervene in irrational use of medication in a timely manner.
4. In accordance with the provisions of the Guiding Principles for the Clinical Application of Antimicrobial Drugs, establish and improve the hierarchical management system of antimicrobial drugs, clarify the prescription authority of physicians at all levels for the use of antimicrobial drugs, and take practical measures to promote the rational application of antimicrobial drugs.
5. Focusing on the strict control of prophylactic use of drugs in Class I incision surgery, the management of prophylactic application of perioperative antimicrobial drugs will be further strengthened. Strengthen the clinical microbiological testing, clinical application of antibacterial drugs and bacterial drug resistance monitoring work, the establishment of clinical application of antibacterial drugs and bacterial drug resistance early warning mechanism.
6. Do a good job of monitoring the rational use of medication, and collect and report data carefully, timely and accurately in accordance with the requirements of the monitoring work program.
7. To establish and improve the safety management system of poison, anesthesia, essence, discharge and other special drugs and conscientiously implement it.
8. Establishment of clinical pharmacist system, there are clear clinical pharmacist job responsibilities and corresponding clinical pharmacist work and management system, clear their responsibilities and tasks in the medical quality management system and conscientiously implement.
(H) to further strengthen the safety management of key aspects of medical services to ensure medical safety.
1. Continue to promote and implement the "Patient Safety Goals".
2. Implement the "Surgical Safety Verification System" and do a good job in surgical safety verification.
3. Implement the "Hospital Work System", "Measures for the Management of Clinical Blood Use in Medical Institutions (Trial)", "Technical Specifications for Clinical Blood Transfusion", and "Management Specifications for Hospital Surgical Departments (Rooms) (Trial)" and other normative documents, and implement the checking system, and do a good job of safety verification of key aspects of medical services such as blood transfusion, medication, and testing.
(ix) implement the "Hospital Infection Management Measures" and related technical specifications, and strengthen the key departments, key departments, key aspects of hospital infection control.
1. Establish and improve the hospital infection management organization, hospital infection management department with clear responsibilities, reasonably equipped with full-time and part-time personnel, develop and implement the relevant rules and regulations in line with the actual hospital.
2. Actively carry out monitoring of hospital infections, the establishment of hospital infection information reporting system, to achieve timely detection of problems, timely treatment, and minimize the harm caused by hospital-acquired infections to patients.
3. Implement the "Hospital Operating Department (Room) Management Code (Trial)" and other relevant normative documents to strengthen the operating room, hemodialysis, intensive care unit, neonatal wards, disinfection and supply room and other key departments of the prevention and control of hospital infection. Medical equipment cleaning, disinfection, sterilization and other key aspects of hospital infection prevention and control in line with the norms.
4. Implement the "Code for the Management of Hemodialysis Units in Medical Institutions" and strengthen the management of hemodialysis units. The organization and management of hemodialysis room, quality control and hospital infection prevention and control measures are in line with the standard requirements.
5. Carry out hospital infection management full-time and part-time personnel and hospital infection key departments, key links of medical staff of hospital infection prevention and control knowledge training, strengthen the awareness of hospital infection prevention and control, and improve the level of hospital infection prevention and control.
(10) according to the "Pathogenic Microorganisms Laboratory Biosafety Regulations", "highly pathogenic pathogenic microorganisms infected with human beings laboratory and experimental activities biosafety approval and management methods", "clinical laboratory management methods in health care institutions" and other relevant provisions of the laboratory within the medical institutions to carry out a comprehensive inspection of biosafety, quality control and management, focusing on the inspection of system construction, hardware and facilities, Personnel management, emergency response, implementation of the implementation and other aspects of the situation.
(xi) Implementing the Chinese People's Blood Donation Law, Measures for the Administration of Clinical Blood Use in Medical Institutions (for Trial Implementation), Technical Specifications for Clinical Blood Transfusion, Circular of the General Office of the Ministry of Health on Further Strengthening the Management of Blood, and One Hundred Questions and Answers to be Known and Understood by the County Blood Bank Personnel to further standardize the management of clinical blood use by strengthening clinical blood use management, promoting scientific and rational use of clinical blood, and safeguarding the safety of clinical blood use by the public. Clinical science, rational use of blood, to protect the safety of clinical blood. Key requirements:
1. Medical institutions should comply with the relevant provisions of the People's Republic of China Blood Donation Law, and illegal collection of blood is strictly prohibited.
2. Hospitals above the second level should establish clinical blood transfusion management committees with clear responsibilities, do a good job in standardized management and technical guidance of clinical blood use, and actively carry out education, training and inspection of rational and scientific clinical blood use.
3. Medical personnel of medical institutions shall use blood in a scientific and reasonable manner according to the "Measures for the Management of Clinical Blood Use in Medical Institutions (for Trial Implementation)", "Clinical Blood Transfusion Technical Specifications" and guidelines.
4. Clinical departments of medical institutions should formulate weekly and monthly clinical blood use plans according to "Measures for the Management of Clinical Blood Use in Medical Institutions (Trial Implementation)", "Technical Specifications for Clinical Blood Transfusion" and the actual work situation, and carry out assessment of the medical staff's use of blood.
5. Medical institutions should equip the blood transfusion department (blood bank) with reasonable technical personnel, equipment and facilities, and the blood transfusion department (blood bank) should establish a quality management system, formulate a blood reserve plan, and do a good job in storing, testing, and distributing clinical blood.
6. Medical institutions should establish scientific and effective response plans for adverse reactions to blood transfusion and emergency use of blood, and implement them conscientiously.
(xii) establish a working mechanism to regularly investigate the safety of production safety infrastructure, technical equipment, operating environment, prevention and control means and other aspects of the existence of potential safety hazards, focusing on strengthening for the construction of production safety systems, safety management organization system, responsibility implementation, labor discipline, site management, accident investigation and handling of the work of rectification and other aspects of the weak links. Key requirements:
1. Establishment of a perfect production safety organization and leadership, management bodies, rules and regulations, operating procedures, standards, etc., clear staffing requirements, and seriously organize the implementation.
2. Strengthen the safety of production of important facilities, equipment, key equipment and devices of the daily management and maintenance, maintenance and to ensure safe operation, to prevent leakage of electricity, gas, water; improve the labor protection supplies and the use of equipment.
3. Ensure that the fire fighting channel is smooth, no obstacles, complete fire fighting equipment, signs are conspicuous, specialized management, with fire warning system.
4. Strengthen emergency management, improve the development of various types of emergency plans, emergency rescue materials, equipment and maintenance, regular emergency drills.
5. Strengthen the safety management of important departments such as radiology, medical oxygen chamber, isotope room, oxygen supply room, dangerous goods warehouse, power distribution room, pressure vessel and elevator.
(xiii) continue to carry out the national blood collection and supply institutions special supervision and inspection of blood safety activities, activities by the Ministry of Medical Affairs issued separately.
(xiv) continue to carry out the national tertiary hospitals quality assessment of medical records, activity program issued separately by the Ministry of Medical Affairs.
(xv) to carry out the national tertiary hospitals advanced units of quality service evaluation activities, the program issued separately by the Ministry of Medical Affairs.
(16) to carry out the national medical institutions radiation diagnosis and treatment work supervision and inspection, activity program issued separately by the Ministry of Supervision Bureau.
Steps of the activity
(A) mobilization and deployment (May 2010)
To complete the preparation, mobilization and organization of the 2010 "Miles of Medical Quality" campaign, the following work will be carried out:
1. Provincial health administrative departments, according to this program, combined with the implementation of the 2009 "Miles of Medical Quality" campaign, will formulate a plan for the implementation of the "Miles of Medical Quality" campaign, which will include the development of the "Miles of Medical Quality" campaign. "activities, the development of the jurisdiction of the specific implementation plan, a clear focus, organization, activity arrangements, the implementation of various activities, the 2010 "Medical Quality Miles" activities for the deployment.
2. Each medical institution, taking into account the actual work, formulated its own 2010 "Medical Quality Mileage" activity program.
(2) Organize and implement (June 2010-March 2011)
1. Implementation. Provincial health administrative departments and various types of medical institutions at all levels should be in accordance with the unified deployment, the comprehensive implementation of the 2010 "Medical Quality Miles" activities. Continue to strengthen management, further improve the quality and safety management system, and organize the media to carry out publicity and reporting activities. Self-examination of the problems found in the immediate rectification of serious violations of the relevant provisions, or cause medical quality, safety incidents should be seriously dealt with.
2. Inspection and supervision. From mid-June 2010 to mid-March 2011, the provincial health administrative departments under the unified organization of the Ministry of Health, the medical institutions under their jurisdiction to carry out the 2010 "Medical Quality Miles" activities to guide, inspect and supervise, and timely summary of the work of the existing problems and deficiencies, to promote the "Medical Quality Miles" activities, to promote the "Medical Quality Miles" activities. The "Medical Quality Miles" activity of good experience, good practices and good typical, orderly promotion, to ensure the effectiveness of.
Inspection method: provincial health administrative departments, in accordance with the unified requirements of the Ministry of Health and unified inspection standards, to organize the inspection of 30 medical institutions under their jurisdiction. These should include five third-level general hospitals, five third-level specialized hospitals, 15 second-level hospitals, and five private hospitals. The Ministry of Health sent supervisors to some provincial health administrative departments to supervise the inspection work of the 2010 "Medical Quality Miles" activities.
(C) Summarizing and exchanging (April 2011)
Before the end of April 2011, the provincial health administrative departments in a timely manner within the jurisdiction of the 2010 "Medical Quality Miles" activities to summarize the Ministry of Health. The Ministry of Health will summarize the activities carried out in each region and form a summary report of the 2010 activities. The Ministry of Health will organize and convene an activity experience exchange meeting to publicize and promote good practices and advanced experience. At the same time, the study and deployment of the 2011 "medical quality Miles" activities, and further establish and improve the long-term mechanism of medical quality, medical safety management.
Requirements
(1) Effectively strengthen the leadership, to eliminate laxity.
Medical quality is the foundation of the hospital, is the core of hospital management, the relationship between the physical and mental health of the masses and the safety of life, the relationship between the reputation and influence of medical institutions, the public image of the health system. To carry out "medical quality" activities, is the health system adhere to the people-oriented, implement the scientific concept of development, improve medical quality management, promote the healthy development of health care an important initiative, is the implementation of the deepening of the reform of the medical and health system is an important means of work, should be unremitting.
Provincial health administrative departments and various types of medical institutions at all levels to further strengthen the quality, safety awareness, and constantly sum up the work experience, clear medical institutions responsible for the first person responsible for medical safety management, and effectively strengthen the organizational leadership. To continue to increase publicity, guidance, training and inspection efforts to take effective measures to ensure that the activities to achieve results.
(2) Strengthen quality management and eliminate hidden safety problems.
Provincial health administrative departments should, in accordance with the relevant laws, rules and regulations and the deployment of the activities, not only increase the inspection, guidance and training to strengthen the supervision and management of medical institutions, but also to explore the establishment of long-term mechanism of hospital management. Medical institutions should pay attention to the connotation of construction, starting from talent, technology, management and other aspects, training, education, inspection, improve the implementation of rules and regulations, and establish a sound internal medical quality management and control system. At the same time to increase the key departments, key areas, key links and key personnel management, inspection efforts to further strengthen the medical technology, medical services, construction, equipment, facilities, dangerous goods and key departments in the rectification of hidden security problems, to have focus, measures, and see the results, and effectively protect medical safety.
(C) a clear goal of the activities to mobilize social participation.
Provincial health administrative departments and various types of medical institutions at all levels should focus on the core of the activities, positive action, take the initiative to coordinate and organize the relevant departments, mobilize the whole society to participate in a wide range of activities, at all levels, classified, and projects to promote the activities. To strengthen public opinion propaganda and guidance, mobilize the news media to support and actively participate in the publicity and promotion of a number of standardized management, quality and reliability, the masses are satisfied with the advanced models, to take a variety of ways to promote the exchange of medical institutions to create a good atmosphere for the reform and development of health care institutions.
(4) Establish a long-term mechanism, and gradually shift to the norm.
Strengthening hospital management and improving medical services is a long-term task. Each region should combine the experience of 2 years of activities and experience, and gradually study and form a long-term working mechanism for continuous quality improvement and medical safety.
The Ministry of Health has set up a national medical quality management and control center, and provinces have established and improved provincial and municipal medical quality management and control centers in accordance with the Measures for the Management of Medical Quality Control Centers, and regularly carry out medical quality control work in accordance with the unified arrangement of the Ministry. The Ministry of Health will guide and supervise the quality control work in different places, and promote the activity of "Medical Quality Miles" to the deep development of specialization, refinement and systematization, and continuously improve the level and quality of medical services.