Beijing strikes hard, cracks down on equipment donation and bundled sales of consumables

Medical Network June 6 hearing medical rectification and drug sales anti-corruption, Beijing storm came.

In order to promote the deepening of medical reforms and solve the problem of people’s outstanding behavior, a few days ago, the Beijing Health Commission and the Beijing Administration of Traditional Chinese Medicine jointly issued the “Notice on Promoting and Standardizing Management of Health and Family Planning System Construction”. Institutional anti-corruption, Beijing Like Shanghai and other places, they started attacking.

Among them, Beijing clearly stipulates that it is necessary to strictly control the donation, placement, leasing of medical equipment, bundling sales, and other acts of disguised purchase of consumable reagents, as well as preventing the purchase price of consumables from being excessively high and preventing abuse of high-value consumables.

The notice pointed out that the integration of professional ethics and conduct construction into the party's work style and clean government construction target responsibility shall be included in the leadership team performance evaluation index, and shall be included in the evaluation system of cadres and workers' rewards and punishments.

Intensified the construction of professional ethics and practices to administrative examination and approval, equipment procurement, drug And consumables procurement, project construction, hospital operations, pharmacy trusteeship, project approval, patient referral, acceptance of donation, investment and financing and other key areas, key parts and key links, strict management rights, management, management, money management, and management Various regulatory measures, from the source to prevent corruption and unhealthy governance.

In the review evaluation, the focus of specialist assessment and appointment of cadres, promotion of titles, evaluation of preemptive work, the implementation of a one-vote veto system.

The notice stated that the procurement of medical consumables was regulated.

Medical institutions should establish and improve the entire procurement management system for medical consumables, especially the establishment of the Medical Consumables Procurement Management Committee to standardize the selection of product selections and procurement catalogs, strictly review the qualifications of medical consumables, strengthen inspection and acceptance of medical consumables, and routine management of warehouses. Medical supplies information management, improve the management of medical supplies files, control the temporary purchase of medical supplies.

Medical institutions shall share the procurement information of other medical institutions in a timely manner, and if the purchase price is significantly higher than that of other medical institutions, the purchase price shall be promptly adjusted.

Medical institutions should incorporate high-value medical consumables' product information, purchase prices and total usage into the range of hospital affairs, and follow safe, effective, economic, and appropriate principles to promote the purchase of high-value medical consumables.

Strictly control the donation of medical equipment and prohibit the consumptive reagents from being bundled and sold

The notice pointed out that public health and family planning units should strictly abide by the relevant regulations of the State on accepting social donation funding management. Medical equipment that receives donation subsidies must be managed by the unit asset management department and the financial department in a unified manner, and strictly follow the donation agreement to carry out public nonprofit business activities. , Internal departments and individuals may not accept donations directly, don't accept donations with conditions affecting fair competition, and may not link medical equipment that receives donated funds with reagents and consumables related to procurement donation-subsidizing organizations, and may not accept corporate donations to fund overseas visits. (Environment) Tourism or disguised tourism.

No excuses can be used to cooperate with enterprises to carry out projects, enterprises free of charge, purchase of reagent supplies with gift and rental, etc., disguised procurement of reagents related to related companies, consumables, etc.; shall not be excuses for scientific research, cooperation, academic conferences, seminars, annual meetings, etc. Or factory sponsored equipment, consumables, funds or other forms of disguised sponsorship.

Workers shall not introduce public welfare charitable projects and apply them without permission from the unit.

The notice proposes to regulate the behavior of medical services, including:

Medical institutions shall strengthen the training, guidance, and supervision of the medical and health care laws, regulations, norms and guidelines of all medical personnel, and follow the requirements of the clinical pathway, so as to achieve reasonable diagnosis, reasonable treatment, and rational use of drugs.

Medical institutions must combine Beijing with the reality of medical reforms, combine clinical medical technology development, and take practical measures such as catalog management and prescription reviews to prevent over-use of drugs, over-the-counter drugs, abuse of drugs, abuse of consumables, and avoid medical care. Inadequacy of the situation.

Public health agencies should be clear medicine The production management company (hereinafter referred to as the enterprise) receives the management department, the staff of the visiting company, proxy People (hereinafter referred to as affiliates) shall carry out overall reception and make records.

Without the permission of the management department, related personnel are not allowed to enter the key areas of the unit (outpatients, wards, laboratories, examination rooms, etc. in the medical institutions, and other key business departments, etc.).

The administrative department of the wind and the reception management department of the company must carry out regular educational activities. The employees must not participate in gatherings, tours, etc. organized by the enterprise. They must not accept gifts, gifts, etc., and must not use excuse to organize academic activities, annual meetings, etc. Any form of sponsorship of affiliates. Inclusion of corporate hospitality management hospital Annual assessment of supply companies.

All public health and medical institutions must put up logos prohibiting the entry of associates of enterprises in the prominent positions in key business areas, report telephones, etc., and deal with situations in which employees in units that violate the above-mentioned conditions are to be dealt with, and associates must be dealt with for enterprises that violate these circumstances. After being registered, they are advised to stop the purchase of their products, etc., and report to the local health and family planning administrative department, the food and drug supervision and management department, and the industry and commerce administrative department that have serious behaviors such as unfair competition.

Medical institutions shall strictly comply with the relevant documents, strengthen the construction of a rational drug use system, establish dynamic monitoring and extraordinary warning mechanisms, strengthen prescription review work, formulate the agency's key monitoring drug management systems, catalogs and workflows, analyze regularly, evaluate and report monitoring data. And publicize relevant information, propose interventions and improvement measures.

The doctors to be treated shall, in accordance with the principle of dosage of the “Prescription Management Measures” and the provisions of the medical insurance management department on the amount of prescribed drugs, issue drugs for the patients; for chronic patients with stable conditions, they must not arbitrarily change the habits of medications, and shorten the original drug cycle. Increase the number of patient visits. Resolutely put an end to the process of decomposition and treatment, allowing patients to perform multiple visits.

Medical institutions should strengthen the management of direct management of pharmacies, review the legality of pharmacies establishment and related procedures, conduct regular audits of property rights, income, and exchanges of accounts, and pay attention to pharmacists who are part-time at pharmacies, are licensed, and receive various kinds of remuneration. Employees are registered for clean-up to eliminate any illegal, illegal or disciplinary violations in pharmacy operations. Investigate pharmacies that are operated by a third party, have a cooperative relationship with hospitals, or rent hospital premises to avoid damage to the interests of the people.

Public medical institutions should sort out all kinds of hospitals that cooperate, trust, and support. Any government-led and hospital-based hospitals should continue to cooperate and provide support in accordance with the government's requirements, and establish channels for transfer consultations. Business assistance is provided; other cooperation, trusteeship, and support hospitals need to be carefully cleaned up. If it is really necessary to continue, it must be re-determined in the form of a party (government) office, etc., and the responsible department and responsible person should be clearly defined; for other cooperation, Escrow, support relationship should be cancelled.

Public agencies should clean up companies, companies, and units that have partnerships. They must resolutely clean up those that may affect the enjoyment of fair services by the general public. They must stop special groups that are non-government directives from opening up so-called medical care and public health services. Green channel, fast channel, etc.