The Ministry of Health introduced to improve the management of public hospital services (full text)
The Ministry of Health yesterday introduced to improve the management of public hospital services to facilitate the masses to see a doctor for a number of opinions, the full text is as follows:
Provinces, autonomous regions and municipalities directly under the Central Government Health Department, Xinjiang Production and Construction Corps Bureau of Health:< /p>
In order to implement the deepening of the reform of the medical and health system opinions, to promote the reform and development of public hospitals to strengthen internal management, improve the quality of service, and improve the experience of the masses to see a doctor, in the summarization of the work of the local experience on the basis of the current adhere to the "patient-centered", the reform of the management of the public hospital services, and to facilitate access to health care for the masses. The following comments are made.
First, adhere to the promotion of appointment services
(a) continue to promote the implementation of appointment services in public tertiary hospitals, steadily expanding to secondary hospitals. Explore the outpatient and discharge patients follow-up the implementation of medium- and long-term appointments, conditional on the local pilot outpatient 24-hour registration and appointment services.
(2) the development of a unified system and norms of appointment diagnosis and treatment work, the appointment diagnosis and treatment and case management and medical insurance system effectively convergence, and constantly improve the proportion of patients with appointments. Explore the establishment of the city or province (district, city) as a unit of the appointment platform, in order to ensure information security at the same time, to achieve information interoperability, resources **** enjoy.
(C) formulate performance evaluation and allocation policies to improve outpatient services and facilitate patients' access to medical care, and encourage medical staff to actively engage in evening outpatient services and holiday outpatient services.
(d) tertiary hospitals and community health service organizations and primary hospitals to establish a division of labor and cooperation, and to do a good job of hospitals to community health service organizations and inter-hospital appointment referral services.
Second, optimize the outpatient process, increase the convenience measures
(a) Revise and improve the outpatient management system, to ensure that the medical staff in accordance with the established arrangements for outpatient. Strengthen the outpatient information disclosure and consulting services to help patients make appointments for treatment and accurate registration, and improve the effective rate of patient consultation.
(2) Explore the reform of the medical scheduling management system, properly arrange medical resources, and timely deploy them according to the number of patients and peaks and valleys. Do a good job of process control and interface between outpatient and auxiliary departments, and strengthen the coordination between outpatient departments.
(C) optimize the layout structure of the outpatient clinic, rationalize the process of patient consultation, increase convenience measures, reduce the waiting time for medical treatment, and improve the patient experience.
Three, strengthen the emergency green channel management, timely treatment of patients with acute and critical illnesses
(a) rational arrangement of emergency power, equipped with professionally trained, competent emergency medical staff, standardized configuration of emergency equipment and medicines.
(ii) the implementation of the system of responsibility for the first diagnosis, and 120 to establish a linkage and coordination system, and community health service institutions, township health centers to establish emergency and first aid referral service system.
(C) to strengthen and improve the implementation of emergency zoning treatment, green channel into hospitalization treatment and surgical treatment. Improve the emergency "green channel", the establishment of trauma, acute myocardial infarction, stroke and other key diseases of the emergency service process and norms, close interdepartmental collaboration to ensure that patients receive continuous medical services.
(D) strengthen the emergency examination, triage, timely treatment of patients with acute and critical illnesses. Revise and improve the standard of emergency care, and effectively triage patients with non-acute and critical illnesses.
(E) for all physicians and nurses to carry out emergency technical operation procedures for full training, the implementation of regular training, qualified induction system.
IV. Improvement of hospitalization, referral, transfer service process, improve the level of service
(a) Revision of the patient transfer, transfer work system, revision of the admission and discharge service management system and standards, improve the admission and discharge service process, and patient convenience.
(ii) Provide personalized services and assistance to patients for admission and discharge procedures. Do a good job of admission, discharge patients instructions, guidance, admission, discharge matters to implement outpatient account or bedside account. Emergency admissions patients to implement the patient by the emergency department diagnosis and treatment of transition to hospital or directly into the department of resuscitation and hospitalization synchronous way.
(C) to strengthen the referral, transfer patients handover, timely delivery of patient information, to provide patients with continuous medical services. For the transfer of patients to do internal fine-tuning management.
(d) Provide appointments for transfer and inpatient treatment, and gradually realize the standardized continuity of transfer and treatment services from bedside to bedside, and from community to bedside. Do a good job of arranging appointments for admission and discharge procedures and settlement times to avoid patients waiting.
(E) to strengthen the health education of discharged patients and the management of important patient follow-up appointments, to improve the level of patients' health knowledge and awareness of post-discharge medical, nursing and rehabilitation measures.
V. Reform of medical fee service management and medical insurance settlement service management
(a) Reform of public hospital fee service management, reduce the patient's prepayment of medical fees, to facilitate the insurance enrollment of patients for medical treatment.
(b) Collaboration and cooperation with the medical insurance management agencies to explore the implementation of total prepayment, single-patient payment (fees), and the combination of measures to book appointments for treatment, identification of patients with medical insurance status, and the gradual realization of the patient's first diagnosis and treatment and then settlement.
(3) gradually implement real-time settlement of card-carrying visits, patients in designated hospitals for medical expenses incurred, in addition to the part of the individual should pay, the rest of the medical institutions and the basic medical insurance, commercial insurance and a variety of settlement system, the agency directly for settlement.
Six, standardize clinical care services, the implementation of the overall care model
(a) the implementation of nursing staffing standards, improve the nursing management rules and regulations, and strict implementation of nursing technical operation standards.
(b) Provide nursing services appropriate to the patient's condition and ability to take care of themselves, and ensure that basic care and graded care measures are put in place.
(3) Focus on humanistic care, implement a holistic care model, provide patients with humanized nursing services that include physiological, psychological, social, cultural, and spiritual needs, and reduce and gradually eliminate the need for patients' family members to accompany them.
(D) carry out health education, listen carefully to the views of patients and their families, and constantly improve nursing care.
VII. Strengthen refined management and improve service performance
(a) To shorten the average hospitalization day as an entry point to optimize the medical service system and process.
(b) Accelerate the construction of hospital information technology, rationalize the allocation and utilization of medical resources, solve the various bottlenecks affecting the shortening of the average hospitalization day one by one, and reduce the waiting time for patients to make appointments for examinations, in-hospital consultations, and test results.
(3) Strengthening the construction of key disciplines, process management and departmental cooperation, effectively improving the efficiency of medical services, and providing patients with convenient and satisfactory medical services.
(d) Implementing clinical pathway management, exploring the reform of single-disease quality control and single-disease payment, and promoting hospitals to improve performance.
VIII. Implementing Patient Safety Goals and Promoting Continuous Improvement of Medical Quality
(1) Strengthening the management of medical quality and safety, carrying out continuous improvement of medical quality, and supporting the China Hospital Association to carry out the annual Patient Safety Goal activities in hospitals across the country. We implement patient safety goals to protect the safety of patients, medical staff and other visitors to the hospital.
(b) Strictly implement the checking system to improve the accuracy of patient identification by medical staff and prevent errors in surgical patients, surgical sites and procedures.
(c) Implementation of the clinical pharmacist system and prescription review system to improve drug therapy and ensure the safety of patient medication.
(d) Improve medical staff communication and implement correct and effective medical prescriptions. Implementation of hospital infection control and clinical laboratory "critical value" reporting system to prevent the occurrence of medical safety incidents.
Nine, to carry out standardized diagnosis and treatment of major diseases, and effectively reduce the burden on patients
(a) select common malignant tumors, renal failure, pediatric leukemia, coronary heart disease and other major diseases with a high incidence rate, heavy disease burden, and a large impact on the community, drawing on the experience of developed countries in the diagnosis and treatment of oncology, based on the conditions of our country, to develop a standardized diagnosis and treatment guidelines in line with the principles of basic medical care, basic medical care and supply of essential medicines. Based on China's national conditions, it will formulate standardized diagnosis and treatment guidelines in line with the principles of basic medical services, basic medical insurance and supply of basic medicines, and carry out standardized diagnosis and treatment of major diseases.
(2) Explore payment and charging methods for single diseases based on standardized diagnosis and treatment, control medical costs, and effectively reduce the burden of medical costs on patients with major diseases.
(C) the use of modern electronic information technology, the gradual establishment of pathology remote diagnosis and consultation system, and gradually solve the problem of pathology diagnosis in county hospitals, to protect the quality of the basis of standardized diagnosis and treatment of major diseases.
X. Strengthen the management of complaints, and actively promote the people's mediation of medical disputes, and build a harmonious relationship between doctors and patients
(a) to strengthen the communication between doctors and patients, to prevent medical disputes. The implementation of medical work "first complaint system", set up or designate a special department to accept and deal with patients and medical personnel complaints, timely processing and reply to the complainant.
(b) Based on the complaints of patients and medical staff, to carry out continuous improvement of medical services.
(c) Actively promote the people's mediation of medical disputes and medical liability insurance, improve the "big mediation", and work closely with the judicial, medical liability insurance and other departments to set up people's mediation committees for medical disputes in counties (cities and districts), and train full-time people's mediators.
(d) Organization of public hospitals to join the unified medical liability insurance, to protect the legitimate rights and interests of doctors and patients, to resolve medical disputes, and to build a harmonious doctor-patient relationship.
Health administrative departments and medical institutions at all levels to facilitate access to medical care, reduce the financial burden of the masses into the reform and development of public hospitals, as an important part of the current work, and effectively raise awareness and strengthen leadership. To improve the policy system, the hospital's work system to clean up, do a good job of abolition, change, and establishment. To educate medical staff to firmly establish the concept of "patient-centered", and strengthen the construction of medical ethics. It is necessary to strengthen the construction of informationization, improve the technical standards, build a unified platform, and lay a good foundation for doing a good job. Please report the progress of the work to the Department of Medical Services Supervision of the Ministry of Health in a timely manner.
February 1, 2010
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