August 12, "Hunan Province, the implementation of physician multi-point practice approach" (trial) (referred to as "approach") was introduced, eligible clinical, oral and Chinese medicine categori

August 12, "Hunan Province, the implementation of physician multi-point practice approach" (trial) (referred to as "approach") was introduced, eligible clinical, oral and Chinese medicine categories of practicing physicians (excluding physician assistant), through the relevant reporting procedures for the record, can be in the administrative region of Hunan Province, 2 (including) more than two medical institutions according to law to carry out regular diagnostic and therapeutic activities, their practice will be protected by the policy.

The city and state health planning commission (Health Bureau), the Ministry of Provincial medical institutions:

In order to regulate the behavior of the province's physician multi-location practice, to promote the reasonable mobility of physicians, to protect the quality of health care and medical safety, and to promote the reform of the medical and health system, according to the "Chinese People's Republic of China *** and the State of the Law of the practicing physician," "Interim Measures for the registration of physician practice" (Ministry of Health Decree No. 5), and other laws and regulations and National Health and Family Planning Commission and other five ministries "on the issuance of a number of opinions to promote and standardize the practice of physicians issued notice" (State Health Medical Development [2014] No. 86) spirit, combined with the requirements of the public hospital reform work and the actuality of the province, specially formulated the "implementation of the implementation of the practice of physicians in Hunan Province" (for trial implementation). Now issued to you, please conscientiously implement.

Hunan Provincial Health Planning Commission Hunan Provincial Administration of Traditional Chinese Medicine

July 31, 2015

(Form of information disclosure: active public)

Hunan Provincial Physician Multi-point Practice Implementation Measures (Trial)

Article 1 In order to regulate the behavior of the province's physician multi-point practice, to promote physician The first is to regulate the behavior of the province's physician multi-location practice, to promote the reasonable flow of physicians, to protect the quality and safety of medical care, according to the "Chinese People's Republic of China *** and the State Practitioners Law" and other laws and regulations and the National Health and Family Planning Commission, the National Development and Reform Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, the China Insurance Regulatory Commission of the five ministries and commissions "on the issuance of a number of opinions on promoting and standardizing the practice of physicians and notification of the opinion" (National Health Medical Development [2014] No. 86), the spirit of the combined public hospitals Reform work requirements and the actual situation in our province, the formulation of this approach.

Article 2 The physician referred to in these measures refers to the eligible clinical, oral and Chinese medicine categories of licensed physicians (excluding physician assistants), in the administrative area of the province 2 (including) more than two medical institutions in accordance with the law to carry out regular practice activities.

Article III of the physician multi-practice in principle, the implementation of vertical mobility from top to bottom, to encourage and guide the physician to the grassroots, remote areas, social medical institutions multi-practice.

Article IV physician multi-practice must also have the following conditions:

(a) physical health, capable of multi-practice work;

(b) to obtain practicing "physician qualification certificate" and "physician practice certificate";

(c) to be carried out in the township health centers, community health centers, village health centers, community health service stations and nursing homes. Multi-spot practice of physicians must have a physician (including) or more professional and technical qualifications, engaged in the same professional work for five years; to be carried out in the above categories of institutions other than the medical institutions to carry out multi-spot practice of physicians must have the attending physician (including) or more professional and technical qualifications;

(d) apply for multi-spot practice of the type and scope of practice and the practice of the practitioner in the first practice location of the medical institutions registered categories of practice and the range of medical institutions. Medical institutions registered in the category and scope of practice consistent;

(E) apply for multi-location practice engaged in the type and scope of practice must be within the scope of the medical institutions to employ the applicant's diagnostic and therapeutic subjects;

(F) the last two cycles of the physician's periodic examination (primary health professional and technical qualifications of a cycle of physicians qualified physician's periodic examination).

Article V. The following cases do not fall within the scope of the measures referred to in the physician's multi-practice:

(a) to participate in charitable or public welfare medical tours, charity;

(b) to participate in emergencies or disasters, medical rescue work, the implementation of the patient's on-site emergency treatment;

(c) participate in the implementation of the basic and major public **** health service project

(d) township health center physicians in the village health room work, community health service center physicians in the community health service station work, the community responsible for physicians into the family to provide medical services;

(e) physicians to undertake the government's directive tasks, consultation, further training, counterparts to support (including aid to Xinjiang, aid to Tibet, foreign aid, etc.), academic exchanges, and promotion of titles before the grassroots;

p> (F) in the signing of medical institutions to help or hosting agreement, the establishment of medical groups or medical consortia between the medical institutions practicing.

< p> Article VI of the physician has been practicing before the practice of multi-location registration for the first place of practice, other places of practice for multi-location practice. Physician practice location is the practice of medical institutions in the "medical practice license" registered in the first name.

Article VII of the physician to carry out multi-practice shall be the first place of practice to fulfill the written information to prepare procedures.

Article VIII of the multi-spot practice of physicians to change the type of practice, scope of practice and the first place of practice of medical institutions, should be in accordance with the "Interim Measures for the Registration of Physicians" provisions of the multi-spot practice activities at the same time to stop; change the need to continue to carry out multi-spot practice, and then re-examined for notification of the preparation and filing procedures.

Article IX carries out multi-practice physician shall not serve as a multi-practice location of the legal representative of the medical institutions or the main person in charge, not as a multi-practice location of the institutions, diagnostic and treatment subjects, technology and equipment access, as well as the hospital level assessment criteria in the evaluation of the qualifications of the personnel basis.

Article 10 of the physician multi-practice implementation of the administrative department of health planning (including Chinese medicine management, the same below) record management. To receive a multi-spot practice physician medical institutions, should have the authority to register the agency's physician practice management of the administrative department of health planning for the written record, the record of the physician can still carry out multi-spot practice activities. Filing content including multi-practice physician name, gender, title, ID number, physician qualification certificate code, physician practice certificate code, practice category, scope of practice, the results of the periodic examination of physicians, multi-practice start and end time, the first practice location of the name of the medical institution and to the first practice location of the medical institution to know the information preparedness (filing form see attached), etc.; acceptance of the filing of the administrative department of health and family planning will be Physician multi-spot practice related information into the "physician network registration management system", and printed to multi-spot practice physician "physician practice certificate" of the "change of registration record" column.

Article 11 The physician and the first place of practice of medical institutions on the basis of consensus, signed a contract of employment (labor), clear personnel (labor) relations and rights and obligations, and in accordance with the relevant provisions of the State to participate in social insurance. Physicians to carry out multi-practice, in the first place of practice in the medical institutions of the working time is not up to full-time, can not receive full-time pay, pay and work time is linked.

Article 12 The first place of practice of medical institutions should strengthen the orderly guidance and scientific management of the physician's multi-practice. Should be based on relevant laws and regulations and the actual institutions, the development of the unit of the management of the physician multi-point practice, reasonable provisions of the physician's job responsibilities, improve the assessment, rewards, sanctions, competition for employment and other specific management methods, do not because of the physician multi-point practice and affect the promotion of their titles, academic status, etc.

Article 13 Medicine is the most common form of medicine in the United States.

Article 13 of the medical institutions receiving physicians to practice more than one point should develop a relevant system to strengthen the practice of multi-practitioner management, to ensure medical quality and medical safety, to meet the needs of medical services.

Article 14 The physician and multi-practice medical institutions to sign labor agreements. In the labor agreement shall agree on the duration of practice, time schedule, work tasks, medical damage or dispute liability, remuneration, and related insurance.

Article 15 of the multi-spot practice of physicians should be based on the contract and agreement to rationally arrange the practice of time in each place of practice in the medical institutions, to ensure the fulfillment of the contract and agreement to ensure that the place of practice of medical quality and medical safety, in principle, the physician shall not be less than 45 days a year in each multi-spot practice of medical institutions. In special circumstances, such as dealing with public **** health emergencies, emergency medical treatment, etc., multi-practice physicians should be subject to the work of the first practice location of the medical institutions.

Article 16 The medical damages or disputes occurring in the process of multi-disciplinary practice of physicians shall be handled by the medical institutions and practitioners involved in the medical damages or disputes in accordance with the relevant laws and regulations, and the other non-involved medical institutions shall not be responsible for the relevant medical damages or disputes. The medical practice insurance purchased by individual physicians is applicable to any medical institution at the place of practice.

Article 17 of the multi-site practitioners shall not seek improper benefits to the detriment of the legitimate rights and interests of the medical institutions and patients of each place of practice.

Article 18 Multi-location physicians shall accept the supervision, management and assessment of the administrative department of health planning and the medical institutions of each place of practice and the medical institutions in which they are practicing. In accordance with the former ministry of health "physician periodic assessment management measures", accept the regular assessment of each place of practice medical institutions, the first place of practice medical institutions are responsible for the comprehensive assessment of other places of practice, into the regular assessment of the physician file. Physicians in any place of practice of medical institutions physician periodic examination failed, as the cycle of physician periodic examination failed, by the first place of practice in accordance with the former Ministry of Health, "Physician Regular Examination Management Measures" processing.

Article 19 of the multi-location practitioners in their practice in any place of medical institutions in violation of the "Practitioners Law" and other laws and regulations, in accordance with the provisions of relevant laws and regulations. Multi-site practitioners are suspended according to law, should be stopped at the same time the other place of practice of medical institutions.

Article 20 of the violation of the "Medical Practitioners Law" and other laws and regulations of the multi-location practice of physicians to make administrative penalties, make penalties for the administrative department of health and family planning shall be in its "medical practitioner's certificate" "practice record" column to be recorded, and shall be notified in writing within 10 working days of the first place of practice and the affiliated health and family planning administrative departments and registration management department. Administrative department and registration department. The content of the notice should include the physician's illegal behavior and handling.

Article 21 The physician who carries out multiple practice activities without reporting, in accordance with the "People's Republic of China *** and the State Practitioners Law", "Interim Measures for the Registration of Physicians", "Regulations on the Management of Healthcare Institutions" and other relevant laws and regulations, the physician and the acceptance of the physician's medical institutions to deal with the multiple practice.

Article 22 The administrative departments of health planning at all levels are responsible for the supervision and management of physicians in accordance with their respective responsibilities.

Article 23 The military physician multi-practice or non-military physicians in the military medical institutions multi-practice does not apply to these measures.

Article 24 These Measures shall be implemented from September 1, 2015 onwards.

Article 25 These Measures shall be interpreted by the Hunan Provincial Health and Family Planning Commission.