National Health Office Medical Development [2019] No. 23, "Notice on Strengthening the Performance Assessment Work of Level II Public Hospitals" (hereinafter referred to as the "Notice"), announced that the performance assessment indicator system***28 indicators, specifically including four aspects of medical quality, operational efficiency, sustained development, and satisfaction evaluation, all of which are quantitative indicators.
The National Health and Health Commission develops performance assessment indicators for secondary public hospitals for local use, while identifying 21 indicators as national monitoring indicators. Interpreted by comparing them with the performance assessment indicators of tertiary public hospitals.
Medical quality as a primary indicator, divided into four secondary indicators including functional positioning, quality and safety, rational use of drugs, medical services, etc., subdivided into 13 tertiary indicators.
Functional positioning of the 3 tertiary indicators, including the percentage of discharged patients surgery ▲, discharged patients minimally invasive surgery ▲, discharged patients tertiary surgery ▲.
The volume of surgeries and the size of secondary hospitals, personnel, equipment, facilities and other comprehensive diagnostic and treatment technology capabilities and clinical management processes are positively correlated, the more discharged patients surgery indicates that the hospital's health care capacity is stronger, and the higher the proportion of minimally invasive surgeries for discharged patients indicates that the higher the hospital's surgical health care capacity. In accordance with the functional positioning of secondary hospitals, and tertiary hospitals emphasize the 4-level surgery is different, focusing on the assessment of the proportion of tertiary surgery.
Through these three indicators, the comprehensive evaluation of the medical service capacity of secondary hospitals, more focused on the evaluation of surgical indicators, for the internal development-oriented secondary general hospitals, the challenge posed, in the face of the health insurance DRG payment, the internal system of secondary general hospitals need to focus on the provision of minimally invasive, interventional and other external treatment of internal diseases, in accordance with the hierarchical diagnostic and treatment function positioning, and the strengthening of the grassroots health care reform. In the face of the DRG payment of health insurance, the secondary general hospitals need to focus on providing minimally invasive and interventional treatments, in accordance with the functional positioning of hierarchical diagnosis and treatment, and the strong primary health care reform.