A few days ago, the State Office issued "on the establishment of a modern hospital management system of the guiding opinions", by 2020 the basic formation of a modern hospital management system. The Opinions put forward to improve the hospital management system, establish and improve the hospital governance system, strengthen the construction of the party in the hospital in three aspects, **** 20 reform tasks: gradually abolish the administrative level of public hospitals; all levels of the health sector shall not be responsible for the leadership of public hospitals; the establishment of a pay system to adapt to the characteristics of the medical industry; strictly prohibited to the medical staff to set the target of generating income ... ...
What kind of changes will take place in the future? What reform dividends will medical staff reap, and what will hospitals look like in 2020?
What are the changes in access to medical care?
Increasing the number of people benefiting from the service, you can see a doctor at your doorstep
City doctors in the promotion of attending physician or deputy director of the title of physician to the grassroots level or counterparts to help the health care institutions cumulative service of not less than one year. Tertiary public hospitals should all participate in the construction of medical consortiums and play a leading role in further improving medical services, optimizing the flow of medical treatment, rationalizing the layout of clinic facilities, scientifically implementing appointment-based diagnosis and treatment, and implementing day surgery, telemedicine, and multidisciplinary joint diagnostic and treatment modes. Strengthening the emergency and first-aid strength, and unimpeded pre-hospital and in-hospital green channels. It also carries out informatization services such as medical guidance, inter-diagnostic settlement, examination and test result delivery, and settlement for medical treatment in other places. At the same time, quality nursing services are being carried out, and social worker and volunteer services are being strengthened.
Clearly the first person responsible for medical accidents to find the president
Establishment of full participation, covering the entire process of clinical diagnosis and treatment services, medical quality management and control system, strict implementation of the first diagnosis is responsible for, three-level checkups, hierarchical care, surgical grading management, antimicrobial drug grading management, clinical blood safety and other medical quality and safety core system. The system is also a core system of medical quality and safety.
The director of the hospital is clearly the first person responsible for the practice of law and medical quality and safety, and implements the responsibility system for medical quality and safety at the hospital and department levels. Properly resolve medical disputes, promote hospital mediation, people's mediation, judicial mediation, medical risk-sharing mechanism organic combination of the "three mediation and insurance" mechanism to build a harmonious doctor-patient relationship.
What are the changes in the treatment of doctors?
More work, more pay, pay shall not be linked to business income
"Opinions" requires a sound human resources management system. Establish and improve personnel employment management, job management, title management, practitioner management, nursing staff management, income distribution management system. In terms of job setting, income distribution, title evaluation, management and utilization, the personnel inside and outside the establishment of the overall consideration. Public hospitals carry out autonomous distribution within the total amount of approved remuneration, reflecting differences in positions and taking into account the balance of disciplines, so as to achieve more pay for more work and better pay for better performance. In accordance with the relevant provisions, hospitals may explore the implementation of a target annual salary system and agreed remuneration. The remuneration of medical personnel shall not be linked to business income from drugs, sanitary materials, inspections and laboratory tests.
Strictly forbidden to set revenue-generating targets, patient satisfaction will affect the income
"Opinions" is clear, to improve the performance appraisal system. The government, organized by the main body of the hospital's performance appraisal to the department and medical staff, different positions, different grades of medical staff to implement the classification assessment. Establishment of a sound performance appraisal index system, focusing on the direction of the hospital, social benefits, medical services, economic management, personnel training, training, sustainable development, highlighting the fulfillment of job responsibilities, workload, service quality, code of conduct, medical quality and safety, medical cost control, medical ethics and patient satisfaction indicators. It is strictly prohibited to set income-generating targets for medical personnel. The results of the assessment will be linked to the employment of medical personnel, title promotion, personal remuneration.
What are the new highlights of the reform?
Canceling the administrative level of public hospitals, the head of the health department is prohibited from also serving as a leader
Establishing a sound hospital governance system, actively exploring the management of public hospitals separate from a variety of effective forms of realization of the government's responsibility for running the hospital. The government exercises the right to organize public hospitals, the right to development, the right to make decisions on major issues, the right to asset income, etc., to consider the statute of public hospitals, development planning, implementation of major projects, revenue and expenditure budget.
In the local existing total establishment, to determine the total number of public hospitals, and gradually implement the filing system. In accordance with the relevant regulations of the Central Organization Department on the management of public hospital leaders, the selection and appointment of public hospital leaders. Gradually abolish the administrative level of public hospitals, all levels of health planning and administrative departments (including the management of traditional Chinese medicine) shall not be responsible for the leadership of public hospitals.
Hospitals are strictly prohibited from luxury decoration, the proportion of special services does not exceed 10%
Deepen the reform of health insurance payment method, give full play to the health insurance on medical service behavior and cost of regulation and guidance and supervision of the role of the control, and gradually extend the health insurance on the health care institutions service supervision to the supervision of medical personnel health care services behavior. Strictly controlling the size of public hospital beds, construction standards and large-scale medical equipment, strictly prohibiting the construction of debt and luxury renovation, and gradually compressing the beds of those that exceed the size standards. Control the scale of special services in public hospitals, the proportion of providing special services does not exceed 10%.
Clear government regulatory functions, the establishment of a "blacklist" and accountability mechanisms
"Opinions" requirements, clear government regulatory functions of the hospital. The establishment of a comprehensive regulatory system, focusing on strengthening the quality and safety of medical care at all levels and types of hospitals, medical costs, as well as large prescriptions, fraud, insurance fraud, drug rebates and other behaviors, the establishment of a "blacklist" system, the formation of industry-wide, diversified and long-term regulatory mechanism. An accountability mechanism should be established for acts of indiscriminate charging and malpractice that have a significant social impact, acts that cause major medical accidents and major safety accidents, cases of serious violations of law and discipline, and serious violations of the construction of the ethos of the profession. Strengthen the health and family planning administrative departments of medical services regulatory functions, improve the institutions, personnel, technology, equipment access and exit mechanism.
Such a reform can certainly bring benefits to the people, the doctor can not prescribe large prescriptions, the doctor should be good quality of service, so I hope to implement as soon as possible in place, so that everyone can experience the benefits of health care reform.