The hospital was exposed | 'high price bill', involving material violations, the official emergency notification
Pharmaceutical Network December 22 hearing Xiangtan City Central Hospital as the premium bill exposure, the incident involved the abuse of medical supplies, the local Health Planning Commission issued the Ministry of Civil Affairs Bulletin, the following is the text of the circular:
Xiangtan City Health and Family Planning Commission released on the 'central hospital Xiangtan Bill Price Insider' situation briefing
"According to survey" had reported 'Xiangtan Central Hospital astronomical bills' issue, the program immediately aroused nationwide focus on the broadcast, Xiangtan City Health Family Planning Commission on December 18 released the "About' Xiangtan Central Hospital High Price Bill Insider 'Incident Notification', the following is the full text of the circular:
Recently, some media in the center of Xiangtan Central Hospital astronomical bills bill, reported Xiangtan Central Hospital individual medical staff 'arbitrary charges, charges' cause widespread concern in the community, I attach great importance to this committee was established quickly Investigation and Disposal Working Group, the relevant information is as follows:
First, the basic situation of the incident
Patients Wen Jun Tao (male, 81 years old), January 22, 2016, due to 'acute cerebral hemorrhage, hernia formation, debridement and decompression of brain hematoma removal, tracheotomy' and so on disease Occupied Surgical Intensive Care Unit (SICU), Central Hospital of Xiangtan City, a total of 303 days of rescue and treatment, the total cost of hospitalization 604397.76 yuan.
Wenjun Tao son Wen Jianxiang that his father in the hospital during the hospital there Xiangtan, 'arbitrary fees, charges' behavior, one after another Xiangtan Central Hospital, Xiangtan City Medical Insurance Bureau, Xiangtan City Health and Family Planning Commission and other departments complaints.
October 10, 2016, Xiangtan City, according to Wen Wei Bao Tao Ju family members to reflect the organization of the relevant departments of Wen Jun Tao in-hospital cases of on-site audits. November 7, 2016, Xiangtan City, Medicare from the dry branch to the Xiangtan Central Hospital Issued a "Notice of Violation of Penalties for Medical Insurance Supervision in Xiangtan City". Through investigation, Xiangtan Medical Insurance Bureau found that Wen Jun Tao held illegal charges in the hospital during the hospital stay in Xiangtan Central Hospital. According to the relevant regulations, the hospital refused to pay a total of 18,701.4 yuan.
February 20, 2017, according to Wen Jianxiang complaints, Xiangtan City, Health and Family Planning Commission immediately arranged a price expert panel to investigate the survey found that there are more hospitals in Xiangtan City nursing fees, medical consumables fees and so on.
April 17, 2017, Xiangtan City Health and Family Planning Commission to the Xiangtan Central Hospital written assignment, requiring the Central Hospital of Xiangtan in accordance with the law to deal with serious .In April 18, 2017, Xiangtan Central Hospital surgical intensive care unit and the text building Xiang himself reached a settlement agreement, compensation by the department Wu million patients whole.
On September 15, 2017, according to the investigation, the hospital believed that department staff did not strictly follow the requirements of the "Medical Examination and Examination System of Xiangtan Central Hospital" and job responsibilities, and so on. There were irregular charges and irregular fees and charges. Accounting for the administrative records had been dismissed, transferred from the post downgrade employment; administrative department of head nurse had been punished, the withdrawal of administrative positions transferred posts; director of the department to give admonition talk; responsible nurse team leader and on duty nurses give admonishing talk.
Second, the progress of the incident
In response to the media recently reflect the situation, Xiangtan City, Health and Family Planning Commission to further investigate and verify the specific circumstances are as follows:
1, on the cost of hospitalization of patients
After investigation, patients in the Central Hospital of Xiangtan Surgical Intensive Care Unit (SICU) were hospitalized for 303 days, the total cost of hospitalization was 604397.76 yuan, of which patients need to pay 22274.76 yuan.
2, on the 'small dressing change 50 times a day' problem
After investigation, because the patient is 'debridement decompression cerebral hematoma removal, tracheotomy', the doctor ordered the 'small dressing' treatment, time for the beginning of February 8, 2016 at 8 am, until April 20, 2016 The end of 11 o'clock, a total of 91 times, in accordance with the "Practical Guide to the price of medical services in Hunan Province" and "Xiangtan City Public Medical Institutions below the price list of medical services," the provisions of small dressing charges standard 8 yuan / time, encoding for the '120600004'.
March 13, 2016 hospital inpatient settlement statement shows that the hospital a small change 50 times, 400 yuan charge for this stage a one-time supplement, the existence of billing irregularities.
3, on the 'cotton swabs and gauze 84 bags a day' problem
After investigation, patients were treated with 'QB' treatment because of the debridement and decompression of brain hematoma after traumatic decompression and tracheotomy. The time was from 16:53 on January 22, 2016, To April 20, 2016 11 o'clock, a total of 89 days, the doctor's advice at the same time be 'gauze / package, topical, BID' treatment, time for the beginning of February 1, 2016 at 8 o'clock, until April 20, 2016 at 11 o'clock The end, a total of 79 days.
April 20, 2017 hospital inpatient day settlement detail list shows that the hospital gauze 221 package, accounting 508.3 yuan, 89 count cotton swabs, billing 40.94 yuan.
However, according to the "Practical Guidebook of Medical Service Prices in Hunan Province" and the "Price List of Medical Services of Urban Public Medical Institutions in Xiangtan City", cotton swabs and gauze are sterile external consumables for external use and can not be charged separately.
4, about '80 days there are 1,100 ice records' problem
After investigation, the patient continued to have 'central fever' and the doctor ordered the 'ice pack, QH' treatment, starting at 15:00 on January 29, 2016 and ending at 16:49, March 14, 2016 for a total of 1,081 hours.
According to the "Practical Manual of Hunan Medical Service Price" and the "Price list of medical services of urban public medical institutions in Xiangtan City," the ice-covered reference to 'General Physical Cooling' charges is coded as '121100001' and the fee is 5 yuan / time .
April 20, 2016 hospital Inpatient settlement statement shows that the hospital ice 1,100 times, accounting 5500 yuan, one-time supplement for this stage, and in accordance with the 5 yuan / hour medical expenses, the hospital does not regulate the collection, billing behavior.
Third, the next working arrangement
1. Has instructed downtown hospitals to further enhance their legal awareness, improve their rules and regulations, strengthen medical ethics education and hospital management so as to ensure that patients' interests are not compromised.
2, requiring all levels of the city's various types of medical institutions at all levels to strengthen management of departments, to strengthen self-examination and self-correction, take the initiative to accept the media, the community and relevant departments to supervise and prevent such incidents.
3, I will join the joint Medicare, Development and Reform and other relevant departments to further strengthen the city's medical institutions medical behavior, medical fees, medical ethics and other comprehensive supervision.
Xiangtan City Health and Family Planning Commission
