In order to further standardize the hospital group drug procurement, storage, receipt, inventory, loss reporting and other management links, this method is developed.
I. Plan declaration
1. Strengthen the management of drug procurement program. Before the 20th of each month, the main hospital and the hospitals reported the next month to purchase drug plan, the hospital group pharmacy department collated, approved by the material will be handed over to the drug supplier according to the plan to deploy drugs.
2, tight drugs to ensure that 1 month's supply, general drugs to ensure that 1.5 months of supply, the rational development of drug procurement plan.
Second, warehousing and acceptance
1, to strengthen the management of the storage of drugs. Warehouse must have a standardized warehousing acceptance system, drugs into the warehouse to carry out double-checking acceptance. Storage acceptance includes: name, dosage, specifications, units, quantity, batch number, expiration date, manufacturer, supplier, drug appearance, quality, price and so on. Any failure to comply with the provisions of the refusal to enter the warehouse.
2, the drug supplier to do invoices and a five-part sales list with the same drug. Custodian acceptance signature, timely warehousing and retain the four lists. Inventory and sales list must be consistent, the custodian to retain a copy for inspection, the branch financial to retain a copy of the other two and the invoice before the third of each month to report to the Hospital Group Pharmaceuticals Division summary, to eliminate cross-month entry. General hospital inventory date until the end of the last working day of the month, the branch unified deadline for the 25th of each month (in case of holidays postponed).
Three, warehouse management
1, improve the drug storage system, the hospitals must develop a standardized system of drug storage management and management of drug accounts and related systems and hanging on the wall, no wall system of the unit, the end of the year can not take part in the evaluation of advanced departments.
2, improve the inventory management system, the hospital group stores, pharmacy, must be cleared monthly inventory. General Hospital at the end of the month on the last working day, branch hospitals unified on the 25th. Each unit of the treasury and pharmacy at the same time clearing inventory, pharmacy personnel, warehouse custodian, director of the Pharmaceutical Section, the treasury supervisors *** with the inventory, inventory personnel in the inventory form signed and archived, the amount of inventory as the initial balance of the next month.
3, strictly out of the warehouse system. Drugs out of the warehouse must improve the system of sales by sales, out of the warehouse documents must be a third person to review and sign. It must be done on a monthly basis, to eliminate the "exercise book" records after the replacement of the bill of lading. Custodian and invoicing staff must be timely reconciliation, so that the account is consistent. Strictly prohibit the loss of drugs, to ensure that the purchase and sale of drugs in line with the account.
4, to establish a standardized manual ledger, so that the account is consistent with the goods, electronic accounts and manual accounts. Eliminate the "exercise book" type ledger.
5, to strengthen the management of inventory of drugs, to check the expiration date of the inventory of drugs and timely feedback on the backlog of drugs, near-expiry date of drugs and long-term use of drugs should be dealt with in a timely manner early warning, to minimize the loss. Any loss caused by human reasons shall be compensated by the responsible person.
6, the monthly loss of drugs must be physical, loss list (including name, specifications, units, quantity, amount, total), the responsible person must fill in the reasons for loss. Confirmed by the person in charge of the unit signed, reported to the competent department for review, the hospitals are allowed to report loss.
Four, the interpretation of the approach belongs to the Hospital Group Pharmaceutical Section.
Pharmaceutical warehouse management system
I, the implementation of drug management laws and regulations and hospital drug management system, and effectively do a good job in the management of pharmaceutical warehouses.
Second, the good drugs into the warehouse and out of the warehouse, strict procedures for the entry and exit of drugs, and conscientiously implement the review and acceptance of drugs into the warehouse system. Storage acceptance includes: name, dosage, specifications, units, quantity, batch number, expiration date, manufacturer, supplier, drug appearance, quality, price and so on. Where not in line with the provisions of the refusal to enter the warehouse. Adhere to the drugs out of the third person review, signature system.
Three, to strengthen the management of drugs in the library, so that the classification of drugs stored, displayed in a neat and orderly manner, marked obvious, error-free. Strictly in accordance with the relevant provisions of the narcotic drugs, psychotropic substances, special drugs and precious drugs management.
Four, regularly organize the drugs, to prevent the expiration of the drugs or insect moth, mold. Chinese herbal medicines and traditional Chinese medicine tablets should be turned over regularly, pay attention to moisture, rodent. Keep the warehouse ventilated, dry and clean at all times. Frequently check the fire prevention and anti-theft facilities to ensure the safety of the warehouse.
Fifth, adhere to the regular inventory of drugs, to understand the situation of drug sales and inventory, pay attention to the dynamics of clinical use of drugs, according to the tight drugs to maintain 1 month inventory, ordinary drugs to maintain 1.5 months inventory.
Sixth, the establishment of a sound drugstore accounts, drugstores, pharmacies should be properly kept drug books, prescriptions, documents and other relevant information. Drug entry and exit should be registered in a timely manner, so that the account is consistent. Electronic data should be backed up in a timely manner, inbound and outbound documents, books and other relevant information must be kept for more than five years.
Seven, good cleanliness and hygiene inside and outside the warehouse, strengthen the safety precautions, prohibit unauthorized entry and exit of non-store personnel.
Attachment 2
Hospital Group medical equipment (medical consumables) management
In order to further strengthen the management, reduce the inventory and capital consumption, control expenditures, plug the loopholes, so that the shopping has a plan, the use of security, according to the requirements of the hospital group audit report, the formulation of this approach.
A plan to declare and purchase
1, commonly used medical equipment and medical supplies, by the use of departments and hospitals in accordance with the need to ensure that a month's use of the development of procurement plan, the plan needs to be signed by the head of the department and the director of the hospital, before the 20th of each month reported to the group procurement center, by the procurement center summarized on the 24th of each month reported to the hospital group procurement committee to study and approve.
2, non-conventional medical equipment and supplies, high-value medical equipment (implantable devices). Written application by the hospital group by the hospital group leader in charge of the approval of the specific implementation of the procurement center, not to purchase or unauthorized use of other medical equipment and supplies.
3, in case of emergencies emergency rescue items, not included in the scope of program management, and after the incident in accordance with the provisions of the relevant procedures.
4, the purchasing agent before the 25th of each month will be the month of all the bills to organize (high-value consumables need to be attached to the patient's bill), in accordance with the provisions of the procedures of the audit level by level, to the Finance Section of the accounts.
Two, items claim
1, the use of medical equipment, consumables, need to fill out a unified item claim form, indicating the name of the item, specifications, models, quantity. Signed by the head of the department, the director of the branch, the operator, and stamped with the official seal of the unit.
2, in order to reduce inventory, the receiving unit in conjunction with the reported plan, the items received should be controlled in a month's worth of usage.
3, fill out the requisition form and after approval, sent to the person in charge of the procurement center audit signature, to the warehouse for the receipt and issue of formalities.
Three, in and out of the warehouse management regulations
1, the purchaser, the warehouse administrator should be loyal, adhere to the principle of good medical supplies, medical equipment, acceptance of warehousing and warehousing and issuance of customs.
2, the purchaser, the custodian *** with the quality of each acquisition of goods acceptance, check the procurement plan, receiving documents, check each box of products, inspection certificate, date of production, disinfection or sterilization date and product identification and expiration date, and one by one, a register.
3, the storage of medical supplies, instruments, to carefully check whether the three certificates are complete. Incomplete products shall not be warehoused, not to see the physical prohibited to fill out the warehousing order, the signing of the approval procedures are incomplete shall not be issued.
4, to strengthen the management of goods in storage. Custodian timely check the expiration date of inventory items, the expiration date of invalid items, according to the provisions of the application for scrapping.
5, the requirements of the warehouse items must be kept on the shelves, neatly arranged, to prevent mold and insects due to poor storage items. Often check the fire and theft prevention facilities to ensure the safety of the warehouse.
6, the 25th of each month, the custodian, the director of medicine and equipment, invoicing personnel, in charge of the hospital leadership **** with the warehouse inventory, and sign the inventory form on the archives, so that the account card things in line with the account in line with the account, the amount of the disk as the initial balance of the next month.
7, the method of interpretation belongs to the hospital group procurement center.
Attachment 3
Drugs, devices, supplies and other inventory financial management
According to the "Hospital Group Financial Management Supplementary Provisions" (Medical Finance 〔2009〕 No. 39), drugs, devices, consumables and other inventories should be done to achieve the Hospital Group Finance and the hospitals, pharmacy, procurement and supply centers and other sections of the monthly reconciliation, so that the accounts and materials match, the books and accounts match. In order to facilitate the management of the branches and departments of the General Hospital accounting, the branches of the drugs, equipment, supplies and other inventory deadline set for the 25th of each month; Pharmacy, procurement center inventory deadline for the end of the month on the last working day of the month, income and expenditure statements and details in the next month before the 5th sent to the Finance Division of the hospital group.
Management of outgoing cost accounting. Drugs in principle to the pharmacy window issued when the cost, the higher value of medical equipment, consumables and other inventory out of stock to the cost, the smaller value of medical equipment, consumables to the actual out of stock and to the clinic or departments have been picked up, to the clinic or departments in the current cost.
Property and material inventory management. Each month should be a comprehensive cleaning inventory of property and materials, the occurrence of inventory surplus, inventory loss, should promptly identify the causes, according to the provisions of the processing, adjusting the accounts, so that the accounts are consistent with the actual accounts, the accounts are consistent. The administrative leaders of each branch and each department of the main hospital are the first person responsible for financial management.
The right of interpretation belongs to the Finance Department of the Hospital Group.
Attachment 4
Penalties for violating the management of drugs, devices and consumables of the Hospital Group
1. The main person in charge of each branch hospital and each relevant department of the General Hospital is the first person responsible for the management of drugs, devices and consumables, and each unit specifies the person responsible for the management of drugs, devices and consumables according to their respective post settings (supervisory leader and operator).
2, where not according to the specified date of implementation of the plan to declare, consume the summary, reported to the financial, every day over, deductions and fines for the first responsible person, the person responsible for the management, each 100 yuan, the penalty is cumulative.
3, where not according to the specified date for the implementation of the monthly inventory (including pharmacy), and seriously do the day and month, inspection found that the inventory and consumption of the amount of inaccuracies, deductions and fines of the first person responsible for 200 yuan, the person responsible for the management of 100 yuan each.
4, where not in accordance with the provisions of the entry, exit and issuance of management, man-made losses, the person in charge of the loss of 50% of the amount of loss, the leaders in charge of the loss of 30% of the amount of loss, the first person in charge of the loss of 20% of the amount of loss.
5, not in accordance with the provisions of the establishment of a sound drugstore accounts, drugstore, pharmacy did not properly keep books, prescriptions, documents and other relevant information or incomplete information, the first responsible person, the person responsible for the management of the fine of 100 yuan each, and obliged to make up the relevant information in a timely manner.
6, drugs, devices, supplies suppliers do not provide the required on the 25th of each month sales invoices for the month, the use of units reflected, verified by the relevant departments to confirm that the supplier's reasons, each day over the deduction of 1,000 yuan, the penalties are calculated cumulatively and deducted directly from the supplier's settlement.