There are three grades: one, two and three.
Each level has three levels: A, B and C.
The top three hospitals are the best, followed by the third.
After the hospital rating was restarted, it was divided into three grades and nine grades. The evaluation adheres to the principle of "six stresses and three noes", that is, it emphasizes service, management, quality, safety, foundation, guarantee, no exercise, no formality and no fraud. Private hospitals can participate in the rating equally with public hospitals. The main assessment items include medical service and management, medical quality and safety, technical level and efficiency. Implement the 1000 integral system, with a score of 900 or above being a third-class A, a score of 750-900 being a third-class B, and a score of 600-750 being a third-class C. The hospital grade does not engage in lifelong system, but implements dynamic management. In addition, the comprehensive evaluation standard of medical quality highlights the service concept of "patient-centered", requiring hospitals to collect patients' opinions regularly and hold a symposium on patients' opinions every quarter. Hospitals must also set up free drinking water supply, public telephones, and medical appointments through electronic telephones. Require the laboratory test report to produce results within 24 hours, publicize the charging price, provide cost inquiry and implement the cost list system.
1 tertiary hospitals mainly refer to large municipal hospitals directly under the national, provincial and municipal governments and affiliated hospitals of medical colleges.
Secondary hospitals mainly refer to general city and county hospitals and provincial-level hospitals, as well as staff hospitals of industrial and mining enterprises and institutions with considerable scale.
First-class hospitals mainly refer to rural township hospitals and urban street hospitals.
Hospital grade classification
First, the basis and principles of hospital classification management
The basis of hospital classification management is the comprehensive level of hospital functions, tasks, facilities, technical construction, medical service quality and scientific management. The essence of hospital classified management is to standardize and manage hospitals by objectives according to the principles of modern hospital management and the scientific laws and characteristics of medical and health services.
The establishment and classification of hospitals should be determined by the health administrative department according to the local government's regional health planning and under the principle of ensuring the reasonable structure and comprehensive functions of urban and rural medical and health networks.
Second, the classification and grading of hospitals
Hospitals are divided into one, two and three levels according to different functions and tasks.
First-class hospitals: primary hospitals and health centers that directly provide prevention, medical care, health care and rehabilitation services to communities with a certain population.
Secondary hospital: a regional hospital that provides comprehensive medical and health services for multiple communities and undertakes certain teaching and scientific research tasks.
Tertiary hospitals: hospitals at or above the regional level that provide high-level specialized medical and health services for several regions and perform higher education and scientific research tasks.
The level of hospitals run by enterprises, institutions, collectives and individuals can be delineated by analogy.
After review, hospitals at all levels were identified as Grade A, Grade B and Grade C hospitals according to the hospital classification management standards, and the Grade III hospitals were given special grades, so the hospitals were divided into Grade III and Grade X.
Hospitals at all levels should establish and improve the two-way referral system and step-by-step technical guidance relationship.
Third, the Medical Review Board.
(1) nature
Hospital accreditation committee is a professional organization that independently engages in hospital accreditation under the leadership of the health administrative department at the same level.
(ii) Levels and tasks
Hospital accreditation committees are divided into three levels: ministerial, provincial and prefecture (city) accreditation committees. The tasks of the review committees at all levels are:
1. The ministerial review committee is organized by the Ministry of Health, and is responsible for reviewing tertiary specialized hospitals, formulating and revising hospital classification management standards and implementation plans, and conducting necessary spot checks and rechecks on local litigation results at all levels.
2 provincial review committee, by the province. The health departments (bureaus) of autonomous regions and municipalities directly under the Central Government shall be responsible for the assessment of Grade II and III A, B and C hospitals (including Grade II and III hospitals in cities with separate plans).
3. The prefecture (city) level review committee, organized by the prefecture (city) health bureau, is responsible for the review of the third-class hospitals such as A, B and C. ..
(three) the composition of the review committee
The review committee is managed by an experienced hospital hired by the health administrative department at the same level. It is composed of many experts in medical education, clinic, medical technology, nursing and finance. Members must be honest, upright, fair, unselfish, healthy and able to participate in the evaluation work in person.
(four) the working system of the review committee
The review committees at all levels shall formulate working rules and establish and improve the working system. Strictly abide by the national laws and regulations on building a clean government, and be diligent and thrifty.
Fourth, the review process.
Hospital accreditation generally goes through five stages, namely, self-examination and declaration, qualification assessment, audit, conclusion and approval. In addition, if the hospital has different opinions on the evaluation conclusion, it can apply for a review.
1. Self-inspection and declaration.
Hospitals at all levels first conduct self-examination according to the hospital classification management standards, and then fill out the Application for Hospital Accreditation in several copies and apply to the corresponding accreditation committee.
2. Qualification examination.
According to the application form, the review committee shall conduct a preliminary review of the hospital's application in time to confirm the qualification to participate in the review.
3. Assessment and inspection.
The hospital evaluation committee carries out the evaluation and inspection of the hospital by combining the usual spot check with regular evaluation. In the process of evaluation, the hospital should provide all kinds of real information and materials needed to the evaluation Committee.
4. Make a review conclusion.
The evaluation committee shall make a conclusion on the level and grade of the evaluated hospital and submit a formal report to the health administrative department at the same level. To apply for a three-level first-class specialized hospital, it shall be reported to the provincial review committee for review by the three-level first-class specialized hospital, and then the provincial review committee shall decide whether to recommend to the Ministry review committee to participate in the review of the three-level first-class specialized hospital according to the review results.