Xiamen 300 hospitals install video surveillance, focus on these behaviors!

Medicine Network May 16 Another Health Insurance Bureau, heavily launched regulatory tools!

Recently, according to information from the Xiamen City Medical Insurance Bureau, in order to further strengthen supervision, with the strong support of the Municipal Finance Bureau and the Municipal Bureau of Economic and Trade Affairs, the Municipal Medical Insurance Bureau has launched the medical surveillance supervision tool, the intelligent video surveillance system.

According to reports, at present, there are 300 first-level or lower-level designated medical institutions in Xiamen, which have completed the coverage of dedicated lines and installed cameras and put them into use. In the future, they will be promoted to secondary, tertiary fixed-point medical institutions and designated retail outlets. pharmacy.

Image Source: Xiamen City Medical Insurance Bureau

According to reports, these places are equipped with monitoring:

1. Fixed-point medical institutions follow the standard of “Completely record the entire process of the insured's seeking medical treatment and obtain medicine”, and cooperate with the Municipal Medical Insurance Center to install high-definition intelligence at its charging stations, pharmacies, clinics (excluding personal privacy treatment places) and aisles and other places. camera;

2. Fixed-point medical institutions have multiple independent business establishments. Each site is equipped with a high-definition smart camera.

3, Registration fee self-service machine requires high-definition camera function and synchronous access to medical insurance intelligent video surveillance system.

Through the 'Internet + Supervising' model, the system not only addresses the whole process of seeking medical care and medicine, but also implements all-weather, all-dimensional, full-process supervision on the process, combats false medical treatment, and conducts intelligent big data analysis.

The supervision information system will monitor the operation in real time, such as outpatient visits, outpatient visits, real-time notification of hospital compliance rates, drug use monitoring, transaction amount, number of doctors signing up, etc., Forming analysis of key patient crowding trajectories, analysis of abnormal medical expenses, etc. , found that medical insurance violations of illegal clues, strengthen follow-up risk management and control.

Image Source: Xiamen City Medical Insurance Bureau

It can be seen that the 'Internet + supervision' model will also be cracking down on big prescriptions. drug , Auxiliary medication also has some deterrent effect.

It is reported that Xiamen City will incorporate medical insurance smart video surveillance related work into medical insurance service agreement management. medicine If an abnormal situation occurs in the organization's video surveillance and it is not reported on its own initiative, the center may interrupt the medical insurance connection.

If violations are found, the Municipal Medical Insurance Center may, according to the seriousness of the case, instruct to terminate the connection, rectify the deadline, suspend the monthly prepayment, and include the key audit supervision. The medical expense involved in the medical insurance fund will not be paid, and it will be included in the assessment of the organization, and the medical insurance will be suspended. Service agreements, termination of health care service agreements, etc.

Recently, the Fujian Provincial Commodity Armament Joint Purchasing Center released the top 20 (April 2018) of the sales amount of drug-based limited-price sunlight procurement medicines in Fujian Province. For Fujian, the top 20 drug purchases are announced monthly. Industry insiders said that Is to strictly control the use of large drugs to prepare.

In fact, as early as August of last year, the General Office of Fujian Province issued the “Implementation Opinions on Further Reforming and Perfecting the Policy for the Production, Circulation and Use of Pharmaceuticals,” which clearly states that:

The medical institutions shall regard the use of drug procurement as an important part of the public affairs of the hospital, and publish information such as price, dosage, and drug proportion of the drugs on a quarterly basis; Chinese medicine Regulations on Syndrome Differentiation, strict implementation of dynamic monitoring of drug usage and extraordinary alert mechanisms, focusing on the monitoring of the use of antibacterial drugs, supplementary drugs, and nutritional drugs, publicizing doctors who use drugs irrationally, and establishing an interview system. Temporary procurement of drug management.

Xiamen is a very important city in Fujian Province. Its model of medical insurance innovation supervision has attracted wide attention from the industry. We can also foresee that under the strict supervision of medical insurance supervision and drug collection center, large quantities of vials are used unreasonably. Etc. have been closely watched.

With the establishment of the National Medical Insurance Bureau, the promotion of medical insurance payment reform will further strengthen the medical insurance control fee. As the country goes to the local, hospital To the doctor, the control of irrational use of medicines and the use of large quantities of medicines will become increasingly stringent.