Introduction: Formulate the implementation plan of public hospital reform, continue to deepen the reform of public hospitals, and comprehensively promote the comprehensive reform of municipal public hospitals. The following is the implementation plan of public hospital reform I brought, hoping to help you.
1. General requirements
Implement the reform requirements of "separating government affairs, separating management from office, separating medicine from profit-making and non-profit-making", adhere to the reform principle of "protecting the basics, strengthening the grass-roots units and building mechanisms", and adhere to the reform direction of "paying equal attention to the public welfare nature of public hospitals and Chinese and Western medicine", so as to get rid of the key link of the mechanism of medicine supplementation and firmly grasp the strategic opportunity of the state to implement the coordinated development of Beijing-Tianjin-Hebei and the comprehensive supporting facilities of Hengshui City. For county-level general hospitals that have been included in the reform, it is necessary to consolidate the results of previous pilot reforms, continue to deepen reforms and improve mechanisms; The county-level general hospitals and all county-level public traditional Chinese medicine hospitals that have not yet been reformed should be comprehensively reformed, focusing on deepening the reform in management system, compensation mechanism, price mechanism, drug procurement, personnel and staffing, income distribution, medical insurance system, and supervision mechanism of fiber halls, and gradually establishing a new operating mechanism that maintains public welfare, mobilizes enthusiasm, and ensures sustainability.
Second, reform tasks and responsible departments
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(1) Reform the management system.
1. Define the functional orientation. Clarify the functional orientation of county-level public hospitals as "the medical and health service center in the county, the leader of rural tertiary medical and health service network, the link of urban and rural medical and health service system and the important carrier for the government to provide basic medical and health services to county residents", implement the public welfare nature, implement the health work policy of paying equal attention to Chinese and Western medicine, and undertake the diagnosis and treatment of common diseases and frequently-occurring diseases of county residents, emergency rescue and referral of difficult diseases, training and guidance for rural grassroots medical and health institutions, and some public health services and natural disasters. (The Municipal Health Bureau, the Municipal Development and Reform Commission, and the Municipal Finance Bureau are responsible. If multiple departments are responsible, the first department is the lead department. If multiple departments are responsible, they will take the lead for multiple departments separately, the same below)
2. Establish and improve the corporate governance structure. According to the requirements of improving the corporate governance structure and the pilot work of de-administration of public institutions in our city, we should actively explore the separation of management and office, and reasonably define the relationship between responsibilities and rights of the government, relevant departments and public hospitals in personnel, assets and finance. The main model is the governance model with the board of directors as the decision-making level and the management under its leadership as the main structure, and we can also explore organizational forms such as the board of directors. Establish a power operation mechanism in which decision-making, execution and supervision are divided and balanced. Implement the status of county-level public hospitals as legal persons, fully enjoy the right of independent management, distribution and recruitment, and implement the Interim Measures for Open Recruitment of Staff in Institutions in Hebei Province. Promote the de-administration of county-level public hospitals, and gradually abolish the administrative level of hospitals. By the end of 2**, the head of the administrative department of health and family planning shall no longer hold the leadership position of public hospitals. (The Municipal Health Bureau, the Municipal Office, the Municipal People's Social Security Bureau and the Municipal Finance Bureau are responsible)
3. Rational allocation of resources. 2** Before the end of the year, formulate the regional health planning and medical institution setting planning of our city. Continue to promote the construction of county-level hospitals. Each county (city) should run a county-level public general hospital and a county-level public hospital of traditional Chinese medicine, and at least one hospital should reach the second-class level. Encourage county-level public hospitals to use domestic equipment and instruments. Appropriately increase the proportion of Chinese medicine resources, and strengthen the basic conditions and capacity building of Chinese medicine in county Chinese medicine hospitals and county general hospitals. Reasonably control the bed size and construction standards of county-level public hospitals, and prohibit borrowing to build and purchase large-scale medical equipment. For places and institutions that are super-scale, super-standard, and build with debt, the relevant responsibilities of the heads of the government and medical institutions will be seriously investigated. To study and formulate policies and measures for the reform of hospitals run by state-owned enterprises. (Responsible for Municipal Health Bureau, Municipal Development and Reform Commission, Municipal Finance Bureau and Municipal State-owned Assets Supervision and Administration Commission)