Detailed rules for the implementation of accreditation standards for tertiary hospitals

Legal analysis: In order to implement the requirements of administrative examination and approval system reform in the State Council, further give full play to the guiding and encouraging role of hospital evaluation in promoting hospitals to deepen the reform of medical and health system, improve modern hospital management system and improve management level, help the construction of graded diagnosis and treatment system, improve the scientific, standardized and standardized level of hospital grading management, and strive to achieve "three changes and three improvements". On the basis of summing up the previous work experience, according to "inheritance, standardization and standardization"

legal basis: evaluation criteria for tertiary hospitals

I. establishment and practice according to law

(I) the scale and basic settings of hospitals do not meet the hospital standards required by the regulations on the administration of medical institutions and the basic standards of medical institutions (for trial implementation).

(2) Forging, altering, buying, selling, renting or lending the Practice License of Medical Institutions in violation of the Basic Medical Hygiene and Health Promotion Law of the People's Republic of China and the Regulations on the Administration of Medical Institutions; Hospital naming does not conform to the detailed rules for the implementation of the regulations on the administration of medical institutions and other relevant provisions, fails to check on time, refuses to check or has a record of suspension of check, arbitrarily changes the diagnosis and treatment subjects or has diagnosis and treatment activities beyond the scope of registration of diagnosis and treatment subjects; Medical and health institutions organized by the government and other organizations invest in the establishment of medical and health institutions with non-independent legal personality; Medical and health institutions lease or contract medical departments; Non-profit medical and health institutions distribute or distribute income in disguised form to investors and sponsors.

(3) Violating the Law of the People's Republic of China on Medical Practitioners, Regulations on the Administration of Medical Institutions and Regulations on Nurses, using non-health technicians to engage in medical and health technical work.

(4) Violating the Drug Administration Law of the People's Republic of China and the Regulations on the Supervision and Administration of Medical Devices, illegally purchasing or using drugs, equipment, instruments and consumables to carry out diagnosis and treatment activities, resulting in serious consequences; Configuring and using large-scale medical equipment that requires access approval without permission.