Opinions on the implementation of further encouraging and guiding social capital to organize medical institutions
Provincial Development and Reform Commission Provincial Department of Health Provincial Department of Finance Provincial Department of Commerce Provincial Department of Human Resources and Social Security
According to the "State Council General Office of the State Council forwarded to the Development and Reform Commission of the Ministry of Health and other departments on further encouraging and guiding the views of social capital to organize health care institutions notice" (State Office of the State Council [2010] No. 58) Spirit, combined with the actual situation in our province, is to further encourage and guide social capital to organize medical institutions to put forward the following views:
One, the guiding ideology, basic principles and main objectives
(a) Guiding ideology. In-depth implementation of the scientific concept of development, deepen the reform of the medical and health system, accelerate the transformation of health development. Encourage and guide social capital to organize medical institutions, the establishment of public medical institutions as the leading non-public medical institutions to accelerate the development of the operation of standardized, competitive and orderly pattern of diversified health care, to meet the people's demand for multi-level health care services, and constantly improve the health of the people of the province.
(ii) the basic principles.
--Integrated planning, *** with the development. Improve regional health planning and medical institutions set up planning, fully mobilize the enthusiasm of all parties, adhere to the public medical institutions as the leading, encourage and support non-public medical institutions *** with the development.
-Equal access, improve policies. Adhere to the principles of openness, fairness and justice, the implementation of a unified access system, the elimination of policy barriers to create a new environment for the benign development of non-public medical institutions.
--Correct guidance, supervision in accordance with the law. Strengthen the supervision of the industry, regulate professional behavior, and safeguard the legitimate rights and interests of non-public medical institutions and the people in accordance with the law.
(3) Main objectives. The establishment of a new pattern of diversified medical care in line with the level of economic and social development in our province, strengthen and improve the health care service system. By the end of the "Twelfth Five-Year Plan", the number of beds in non-public medical institutions accounted for the proportion of the total number of beds in the province's medical institutions to reach more than 20%.
Second, relax the scope of access to social capital to organize medical institutions
(D) to encourage and support social capital to organize various types of medical institutions. Social capital can independently choose to organize for-profit or non-profit medical institutions. For-profit medical institutions to the business administration department for business registration, non-profit medical institutions to the civil affairs department for registration of private non-enterprise units, to obtain legal personality. Priority is given to encouraging social capital in various forms to organize large-scale, high-level general hospitals and specialty hospitals with special characteristics. Encourage qualified personnel to open individual clinics in accordance with the law.
Social capital organized by the medical institutions can choose their hospital categories and functions appropriate to the diagnosis and treatment subjects, reported to the health administrative department for approval according to law. Meet the conditions for application, with the appropriate qualifications, shall be approved and issued in a timely manner the appropriate license, shall not unreasonably restrict the scope of practice of non-public medical institutions. Non-public medical institutions in accordance with the approved scope of practice, hospital level, the number of people served, such as the reasonable allocation of large medical equipment.
(E) adjustments and new health care resources to give priority to social capital. Localities should incorporate non-public medical institutions into local national economic and social development plans, and provide proper guidance and support for their standardization and healthy development in accordance with local health development plans. In regional health planning and medical institution setup planning, reasonable space should be left for non-public medical institutions, and their establishment conditions, qualification review and approval procedures are the same as those for public medical institutions. When new and adjusted health resources are needed, priority will be given to medical institutions organized by social capital, provided that they meet access standards.
(VI) Encourage and support non-public medical institutions to become bigger and stronger. Encourage social capital to organize and develop medical institutions with a certain scale and characteristics, and guide qualified medical institutions to develop into large-scale medical groups with high level and high technological content, to implement the brand development strategy, and to establish a good social reputation. Encourage non-public medical institutions to strengthen clinical research and talent team building.
(VII) encourage social capital to participate in the restructuring of public hospitals. According to regional health planning, rationalize the scope of public hospital restructuring. Public hospitals can be in the pilot areas of reform and part of the hospitals run by state-owned enterprises first pilot. Social capital is guided to participate in various ways in the restructuring of public hospitals, including hospitals run by state-owned enterprises, and some public hospitals are actively and steadily converted into non-public medical institutions, moderately reducing the proportion of public hospitals and promoting the rational distribution of public hospitals. Priority should be given to selecting non-public medical institutions with experience in running medical institutions and a good social reputation to participate in the restructuring of public hospitals. In the process of restructuring, in accordance with strict and transparent procedures and valuation standards for the assessment of public hospital assets, to strengthen the management of the proceeds of the disposal of state-owned assets, to prevent the loss of state-owned assets; in accordance with the national and provincial policies and regulations to develop the restructuring of the unit staff resettlement methods, to protect the legitimate rights and interests of employees.
Public medical institutions to gradually reduce and strictly control the special needs services, public and non-public medical institutions special needs services income should be in accordance with the provisions of the tax.
(viii) Foreign capital is allowed to organize medical institutions. To further expand the opening of medical institutions to the outside world, foreign capital to organize medical institutions adjusted to allow foreign investment projects. Allow foreign medical institutions, enterprises and other economic organizations and the province's medical institutions, enterprises and other economic organizations to set up medical institutions in the form of joint ventures or cooperation. Overseas capital can organize both for-profit and non-profit medical institutions. Encourage foreign capital to invest in the province's relatively underdeveloped areas to organize medical institutions.
Hong Kong, Macao Special Administrative Region and Taiwan, as well as internationally renowned brands of medical entities of the capital to organize medical institutions in our province, in accordance with the provisions of the priority support policies.
(IX) standardize the access procedures for foreign medical capital. Medical foreign investment project approval and approval shall implement the current laws and regulations, as well as the current policies of the state and the province. Sino-foreign joint venture, the establishment of cooperative medical institutions by the Provincial Health Department and the Commerce Department for approval, including the establishment of Chinese medicine, Chinese and Western medicine hospitals need to seek the views of the Provincial Administration of Traditional Chinese Medicine. The establishment of wholly foreign-funded medical institutions by the Ministry of Health and the Ministry of Commerce for approval, including the establishment of Chinese medicine, combined Chinese and Western medicine, ethnomedicine hospitals need to seek advice from the State Administration of Traditional Chinese Medicine. Specific measures to be formulated by the relevant departments.
Three, to further improve the social capital to organize the practice of medical institutions environment
(J) social capital to organize medical institutions, in the land policy support. Social capital to organize medical institutions construction should be in line with the overall land use planning and related urban and rural planning, non-profit medical and health facilities land can be allocated to provide land use rights, non-profit medical institutions shall not be unauthorized change of land use, such as the need to change, should be in accordance with the law to apply for land use procedures. The land for the construction of for-profit medical institutions is subject to paid use.
(xi) financial institutions are encouraged to use credit to support the organization and development of non-public medical institutions. For-profit non-public medical institutions can use the land, property and other fixed assets with clear title to apply for mortgage loans, land and resources, real estate management department shall apply for mortgage registration procedures.
(xii) the implementation of non-public medical institutions tax policy and price policy. Social capital organized by non-profit medical institutions in accordance with state regulations to enjoy tax incentives, electricity, water, gas, heat and public medical institutions at the same price, the provision of medical services and medicines to implement the relevant price policy set by the government. For-profit medical institutions in accordance with state regulations to pay enterprise income tax, the provision of medical services to implement independent pricing, exempt from business tax.
Profit medical institutions shall be exempted from property tax and urban land use tax for three years from the date of obtaining the registration of practice after the property and land used by the institutions are reported to the competent local tax authorities for record. Non-public medical institutions are allowed to deduct from the calculation of their taxable income the portion of their donation expenditures for public welfare within 12% of their total annual profits through public welfare social organizations or governments and their departments at or above the county level.
(xiii) encourage localities to purchase services provided by non-public medical institutions. Encourage localities to use government procurement or other forms, select qualified non-public medical institutions to undertake public **** health services and government-ordered health care to support agriculture, border support, and counterpart support and other tasks. Support social capital organized community health service institutions, individual clinics and other non-public medical institutions to play an active role in the primary health care service system.
Non-public medical institutions shall carry out the directive tasks issued by the government in the event of major infectious diseases, mass unexplained diseases, major food and occupational poisoning, and public ****health emergencies caused by natural disasters, accidents and calamities, or social security and other events, and shall be compensated by the government in accordance with the regulations.
(xiv) will be eligible non-public medical institutions into the scope of medical insurance designated. Non-public medical institutions where the implementation of the government's medical services and drug pricing policy, in line with the relevant provisions of the health insurance designated, human resources and social security, health, civil affairs and other departments shall, in accordance with the procedures for their inclusion in the basic medical insurance for employees and urban residents, the new type of rural cooperative medical care, urban and rural medical assistance, work-related injuries, maternity insurance, and other social security designated scope of services, and implementation of the same reimbursement policies as public medical institutions.
(xv) the establishment of social capital to organize medical institutions special subsidies. Non-public medical institutions to obtain national, provincial and municipal key disciplines construction projects, enjoy the same treatment as public medical institutions key disciplines construction funding subsidies. Health administrative departments at all levels should be the key disciplines of non-public medical institutions into the construction of key disciplines of medical and health institutions in the region. Provincial health administrative departments in accordance with the actual development of the province's non-public medical institutions, the establishment of key disciplines specifically for non-public medical institutions construction program.
(p) encourage donations to social capital organized by non-profit medical institutions. Encourage enterprises, institutions, social organizations and individuals to social capital organized by non-profit medical institutions to donate, and the implementation of relevant tax incentives. Encourage the Red Cross, all kinds of charities, foundations and other funding to organize non-profit medical institutions, or with social capital organized by non-profit medical institutions to establish long-term counterpart donation relationship.
Four, increase the support for non-public medical institutions personnel team building
(17) optimize the employment environment of non-public medical institutions. Non-public medical institutions in accordance with relevant state laws and regulations, enjoy the autonomy of employment. Its recruitment of personnel must sign labor contracts in accordance with the law, the establishment of legal labor relations, personnel exchange services in the implementation of personnel agency, in accordance with the provisions of social insurance.
Conditional units may establish supplementary insurance for personnel with intermediate titles (or above) to ensure their level of treatment.
Non-public medical institutions employing foreign or Hong Kong, Macao and Taiwan medical personnel shall be implemented in accordance with the relevant state regulations.
(xviii) Improving the external academic environment of non-public medical institutions. Non-public medical institutions in the evaluation of titles, scientific research projects, to participate in academic activities, and evaluation of excellence and other aspects of the same treatment as similar personnel in public medical institutions. All medical industry associations, academic organizations and medical institution review committees should include non-public medical institutions on an equal footing, ensure that non-public medical institutions occupy a proportion appropriate to their status in the medical service system, and guarantee that medical personnel of non-public medical institutions enjoy the opportunity to assume leadership positions appropriate to their academic level and professional ability.
(19) Strengthening personnel training for non-public medical institutions. All localities shall incorporate the training of health technicians in non-public medical institutions into the training programs for continuing education of medical and health personnel, vocational skills training of skilled personnel, training and cultivation of general practitioners, and standardized training of resident physicians. Relevant government departments should systematically train the organizers and managers at all levels of non-public medical institutions in policies and regulations, modern management knowledge, etc., to improve the overall quality of management personnel, and to promote scientific management and rule by law.
(xx) to encourage physicians to practice, the reasonable mobility of medical personnel. Encourage physicians to engage in multi-point practice under the premise of ensuring the quality of medical services and in accordance with the stipulated procedures, local human resources and social security and health departments should formulate relevant implementation measures.
Encourage the reasonable mobility of medical personnel between public and non-public medical institutions, and support non-public medical institutions through various forms of employment of medical personnel in public medical institutions. Each region shall not restrict the free movement of medical personnel between public and non-public medical institutions. Localities can introduce measures in accordance with local realities, to ensure the free flow of medical personnel in public medical institutions and non-public medical institutions, the relevant departments and units should be given in accordance with the relevant provisions of the State in a timely manner to handle the change of place of practice, personnel and labor relations, the transfer of social insurance relations, file transfer and other formalities.
V. Strengthening guidance and standardized management, and promote the sustained and healthy development of non-public medical institutions
(21) guide non-public medical institutions to standardize the practice. Non-public medical institutions as an independent legal entity, self-financing, independent accounting, independent civil liability. Non-public medical institutions to implement the regulations on the management of medical institutions and its implementing rules and other regulations and related provisions, to provide medical services to obtain the appropriate license. Non-public medical institutions are strictly prohibited from exceeding the scope of services, and illegal medical activities and medical fraud are severely cracked down in accordance with the law. Regulate the release of medical advertisements by non-public medical institutions, and strictly prohibit the release of false and illegal medical advertisements in any form. The health department shall incorporate non-public medical institutions into the medical quality control and evaluation system, and inspect, evaluate and audit the practice of non-public medical institutions and their medical personnel through daily supervision and management, medical institution calibration and periodic examination of physicians and other means.
Establishing a social supervision mechanism to incorporate medical quality and patient satisfaction into the daily supervision of non-public medical institutions. It will give full play to the role of medical insurance as an incentive and constraint for health insurance designated institutions, and promote non-public medical institutions to improve service quality and reduce service costs.
(xxii) Promoting law-abiding operation of non-public medical institutions. Non-public medical institutions should strictly follow the nature of the registration to carry out the appropriate business, strict implementation of laws, regulations and policies, the implementation of the state financial accounting system, accounting and financial management in accordance with the law, and accept the supervision and inspection of the relevant departments. Income earned by a non-profit medical institution may only be used for the continued development of the medical institution, in addition to reasonable expenses as specified. For non-profit medical institutions in violation of the business purpose, income and expenditure balances for dividends or disguised dividends, the health department shall order a deadline for correction; in serious cases, shall be ordered to stop practicing in accordance with the provisions of the law, and shall be held legally responsible. For-profit medical institutions income can be used for investors' economic returns. Non-public medical institutions shall provide appropriate services to patients in accordance with the principle of clinical necessity, and inducement of medical treatment and excessive medical treatment are strictly prohibited. The health department shall punish and pursue legal responsibility according to law for improper profit-making and harming the legitimate rights and interests of patients. Give full play to the role of accounting firms in auditing and supervision of various types of medical institutions.
(XXIII) to promote non-public medical institutions to improve the level of management. Encourage non-public medical institutions to implement a modernized hospital management system, establish a standardized corporate governance structure, strengthen cost control and quality management, and employ professional directors responsible for hospital management. Supporting social capital to organize hospital management companies to provide specialized services. Non-public medical institutions are allowed to use various methods to hire or entrust professional organizations at home and abroad with medical institution management experience to participate in hospital management and improve management efficiency. Guiding non-public medical institutions to implement the labor contract system in accordance with the law, and establishing and improving labor regulations.
(xxiv) Cultivating and enhancing the social responsibility of non-public medical institutions. Non-public medical institutions to enhance the sense of social responsibility, adhere to the patient-centered, strengthen medical ethics and medical style, vigorously carry forward the spirit of saving lives and helping the injured, and strengthen the medical staff to practice ethics and humanism education, so as to practice in good faith. Encourage non-public medical institutions to return to society through the establishment of relief funds in accordance with the regulations, and to carry out volunteer medical services and other means. Further cultivate and improve the non-public medical institutions industry associations, give full play to its positive role in industry self-regulation and safeguard the legitimate rights and interests of non-public medical institutions.
(25) Strengthening the information construction of non-public medical institutions. It is necessary to guarantee that non-public medical institutions enjoy the same rights and interests as public medical institutions in terms of informed policy and public ****resources*** such as information and data. Information transparency shall be improved, and information on various types of health resource allocation planning, industry policies, and market demand shall be published in a timely manner in accordance with the relevant provisions on information disclosure. Non-public medical institutions will be included in the provincial, municipal and county information platform construction, focusing on hospital management and electronic medical records, and promote the construction of information technology.
(xxvi) Improving policies related to the change of business nature of non-public medical institutions. In principle, non-profit medical institutions organized by social capital shall not be transformed into for-profit medical institutions. If it is necessary to change, it should be canceled and liquidated, and then re-apply, and according to its business nature, reported to the original approval department for approval and to complete the relevant procedures in accordance with the law. A for-profit medical institution organized by social capital may be converted into a non-profit medical institution by submitting an application and going through the procedures for change in accordance with the law. After the change, in accordance with the provisions of the relevant national price and tax policies.
(27) the establishment of non-public medical institutions exit mechanism. Non-public medical institutions such as property rights change, can be disposed of in accordance with the relevant provisions of the relevant investment. If a non-public medical institution goes out of business or goes bankrupt, it shall be disposed of in accordance with the relevant regulations.
(xxviii) In case of inconsistency between the previous relevant regulations and this opinion, this opinion shall prevail.
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