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He medical institutions and retail pharmacies need to submit applications to the Municipal Bureau of Labor and Social Security, Medical Insurance Division, after examination, site visits and evaluation to obtain a designated medical institutions and designated retail pharmacy qualification certificate, in order to serve as a designated medical institutions or designated retail pharmacies, engaged in business related to medical insurance.
After the applicant submits the application materials, the Municipal Bureau of Labor and Social Security will organize an evaluation committee (composed of medical experts) to conduct the evaluation, and more than two-thirds of the members will agree to pass the evaluation, and the qualification certificate will be issued after 10 days of public announcement without objection.
Application for basic medical insurance designated medical institutions conditions
1, comply with national laws, regulations and standards related to the management of medical services, have a sound and perfect medical services management system, within one year without medical accidents;
2, the implementation of laws, regulations and policies related to the management of medicines, drugs within one year without violations of laws and regulations;
3, the implementation of the pricing department of the medical institutions to implement the laws, regulations and policies, within one year without illegal, illegal behavior;
3, the implementation of the price department of medical services and drug pricing policies, within one year without medical services and drug pricing violations;
4, in line with the basic standards for medical institutions under the health sector and the requirements of the health regional planning, and comprehensive outpatient clinics building area of not less than 400 square meters, medical and technical staff of not less than 16 people (of which no fewer than 8 registered medical practitioners) The building area of the general outpatient clinic is not less than 250 square meters, and the number of medical technicians is not less than 12 (of which not less than 6 are registered practicing physicians);
5. The medical services provided are based on the basic medical insurance service items;
6. The medical quality indicators have reached the standards stipulated by the graded medical institutions;
7. The internal management system is set up in accordance with the management of the basic medical insurance, equipped with the basic medical insurance management system and the internal management system. Internal management system compatible with the basic medical insurance management has been established, and the necessary management personnel and equipment have been equipped.
Second, apply for basic medical insurance designated retail pharmacy conditions
1, comply with the "People's Republic of China *** and the State Drug Administration Law" and related regulations, have a sound and perfect drug quality assurance system, to ensure the safety of drug supply, effective and quality of service, through the GPS certification, within one year, there has not been an accident in the quality of medicines;
2, the strict implementation of the drug pricing policy
2. Strictly implement the drug price policy, pass the supervision and inspection of the price department, and no violation of drug prices within one year;
3. Have the ability to timely supply of commonly used medicines for basic medical insurance, and provide 24-hour drug sales service;
4. Ensure that there is at least one pharmacist on duty during the business hours, and that the business personnel are qualified by the drug supervision and management department;
5. Strictly implement the basic medical insurance system and the relevant provisions of the management system. Medical insurance system and management methods, a standardized internal management system, with the necessary management personnel and equipment, computer management system and full-time operators, the implementation of the purchase of medicine settlement list system;
6, in line with the "Xiamen City, retail pharmacy set up temporary regulations", and retail pharmacy business premises floor space of not less than 120 square meters.
Applications for designated medical institutions and designated retail pharmacies need to provide the following materials:
Application for designated medical institutions
1, application for designated medical institutions;
2, a copy of the license to practise;
3, department setups and a list of medical equipment;
4, the original property certificate or house lease contract and a Copies;
5, roster of health technicians, technical titles, practicing certificates, registration certificates, originals and copies;
6, evaluation of the previous year (six months of community health service organizations) medical income and expenditure, and outpatient, inpatient diagnosis and treatment services;
7, health administrative department issued by the level of medical institutions to prove that the material;
8, drug Supervision and management and price department supervision and inspection of qualified certificates.
2. Application for designated retail pharmacy
1. Application for designated retail pharmacy
2. A copy of the drug license and business license;
3. A roster of pharmacy technicians and proof of their titles, and a roster of pharmacy salespersons and their post-training certificates;
4. A register of the types of medicines operated and the drugs imported and sold;
5, Proof of passing the supervision and inspection by the drug supervision and management department and the price department;
6. The original and copy of the real estate license or house lease contract;
7. Business income and expenditure in the year before the evaluation.
Applications for designated medical institutions need to fill out the Application for Designated Medical Institutions, and applications for designated retail pharmacies need to fill out the Application for Designated Retail Pharmacies.