The Weijian Committee noticed that many hospitals were inspected, and the imaging and pathology department was finished...

Medical Network June 21 hearing hospital organization reform ushered in major news, some analysts said that many hospitals to complete some of the departments.

On June 19, the official website of the National Health and Sanitation Commission released the Notice on Further Reforming and Perfecting the Medical Institutions and the Examination and Approval of Physicians (hereinafter referred to as the “Notice”), which brought concrete measures for the reform of medical institutions.

Among them, 'commissioning' has become a major point of view. That is, some departments of medical institutions are entrusted to third parties to operate. According to analysis, some departments of many hospitals are going to be over.

Article 2 of the Circular “Optimize the registration of medical treatment subjects in medical institutions” pointed out that under the premise of guaranteeing the quality and safety of medical care, medical examinations, pathological diagnosis, medical imaging and other services of medical institutions can be entrusted to an independently set up medical laboratory. The pathological diagnosis center, medical imaging diagnostic center or other medical institutions with conditions, the health and health department use the entrustment agreement as the basis for registration of relevant medical treatment subjects.

In addition, the urban medical group and the leading hospital of the county medical community should meet the basic standards of the corresponding medical institution and have the service capabilities of medical examination, pathological diagnosis, medical imaging, and disinfection supplies.

In other words, medical institutions can no longer set up the above-mentioned departments, but instead choose to entrust other third parties or medical institutions with the above-mentioned departments.

According to the inspection medical network analysis, in the case of clinical laboratory, as a result, the laboratory of many hospitals may gradually decline and be replaced by the third release laboratory or regional inspection center. The reason is that, under the pressure of cost and inspection efficiency, Many small-scale hospitals may use commissioning.

Similarly, pathology, medical imaging diagnostic center, etc. will also be entrusted.

The recognition of the entrustment agreement means that there will be more small and medium-sized hospitals, clinics, etc. The current "Regulations on the Management of Medical Institutions" stipulates that new hospitals must have relevant departments, and the recognition of the commission agreement is equivalent to the availability of related departments, greatly reducing New hospital pressure.

On June 20, Guo Yanhong, deputy director of the Medical Administration Hospital Authority, said at the press conference of the Weijian Committee: 'As medical laboratory, pathological diagnosis center, medical imaging diagnostics, and medical disinfection and supply center are mainly for failing to have inspections, The provision of services by pathological, imaging, and sterilized basic medical institutions will not only help reduce the cost of organizing and operating primary medical institutions, but also help improve the homogeneity of medical services.

A personage inside the hospital said that for most of the top-three hospitals, the negative impact is small, and it is good for primary hospitals.

Some analysts also stated that independent medical institutions such as pathology, imaging diagnostics centers, and testing laboratories would prioritize their interests. First, they must make money-making projects and high-level projects. Some non-profitable projects are left to the hospital. It is unlikely that the relevant departments of the hospital will be finished, but it will affect long-term development.

Even more, there are provincial top-three hospital inspection physicians that the hospital's laboratory equipment has been basically updated every five years. Regardless of whether it is malfunctioning or not, new instruments are introduced almost every month. The cost of reagents is also higher than that of local third-party platforms.

If this is true of analysis, then the corresponding marketing ideas for equipment and consumables companies will also need to change.

In addition to this, the "Notice" also made it clear that medical institutions below Level 2 would cancel the approval.

With the exception of tertiary hospitals, tertiary MCH hospitals, first aid centers, first aid stations, clinical testing centers, Sino-foreign joint ventures and cooperative medical institutions, and wholly-owned medical institutions of Hong Kong, Macao, and Taiwan, and other medical institutions, the health and health administrative department will no longer issue “set up medical care”. Institutional Approval Letter, "Practice License for Medical Institutions" issued only during practice registration.

Provinces, autonomous regions, municipalities and health and family planning committees, China medicine Authority, Xinjiang Production and Construction Corps Health and Family Planning Commission:

In order to thoroughly implement the spirit of the Ninth National Congress of the Communist Party of China and the State Council’s Clean Government Work Conference to deepen the important deployment of the reform of “distribution and management”, we continued to optimize the approval process in the medical field, improve the efficiency of approval, and give better play to the role of the competent department of the health industry. According to "The General Office of the Central Committee of the CPC Central Committee, issued by the State Council General Office <关于深入推进审批服务便民化的指导意见>"The notice" is now to further reform and improve the medical institutions. The notice of the doctor's examination and approval is as follows:

Local health administrative departments at all levels (including Chinese medicine The competent authorities, hereinafter the same) should promote the reform of the electronic registration management reform of medical institutions, physicians, and nurses as an important starting point for deepening the reform of 'distribution management services' in the medical field, accelerate the establishment of an information sharing mechanism for examination and approval, further simplify the approval process, and shorten the time limit for examination and approval. , Improve the efficiency of the examination and approval. By the end of June 2018, the nationwide implementation of the electronic registration management. The provincial health administrative department according to the electronic registration management, in accordance with the production style and technical requirements formulated by the National Health and Health Commission, organize the printing and Issuing medical institutions licenses and copies.

Under the premise of guaranteeing the quality and safety of medical care, medical institutions may entrust medical examination laboratories, pathological diagnosis centers, medical imaging diagnostic centers, medical disinfection and supply centers, or other medical institutions with conditions to provide medical examinations, pathological diagnosis, medical imaging. , Medical disinfecting supply and other services. The health administrative department can use the entrustment agreement as the registration basis for the relevant medical treatment subject of the medical institution, and remark the 'agreement' after the diagnosis and treatment subject. The leading hospital of the city medical group and the county medical community should comply with the corresponding The basic standards of medical institutions, with medical testing, pathological diagnosis, medical imaging, disinfection and other service capabilities.

The name of a for-profit medical institution should be in accordance with enterprise , Registration of individual industrial and commercial households and relevant regulations on the naming of medical institutions. The health and health administrative department shall strengthen the communication with the market supervision department, and timely provide information on the name of the for-profit medical institution to the market supervision department according to the needs of the work. Health and Health Administration Department The certification materials of the name of the medical institution should be issued based on the application of the for-profit medical institution to facilitate the normal practice of the operation of the for-profit medical institution.

Local health administrative departments at all levels should organize and clean up medical institutions' approval and application materials. Regulation Based on, all must be canceled; Information that can be obtained through sharing information with other departments may not require the applicant to provide supporting materials. If applying for medical institutions to register for practice, no verification certificate will be provided. The applicant shall be responsible for the authenticity of the registered funds.

In addition to three hospital , Level 3 Maternal and Child Health Hospital, First Aid Center, First Aid Station, Clinical Laboratory Center, Sino-foreign joint ventures and cooperative medical institutions, Hong Kong, Macao, and Taiwan-funded medical institutions, and other medical institutions, the health and health administrative department will no longer issue the "Approval for Establishing Medical Institutions" , The "Practice License for Medical Institutions" is issued only during the practice registration. Before applying for registration, the organizer should conduct an in-depth study of the feasibility of setting up a medical institution and the influence on the surrounding area, and reasonably design the layout of the medical institution's site selection. Positioning, service methods, diagnosis and treatment subjects, staffing, number of beds, equipment and facilities, etc. When applying for registration, the applicant shall submit the second item to the first paragraph of Article 25 of the Implementation Regulations of the Regulations for the Management of Medical Institutions. Seven stipulated materials (excluding verification of capital verification) After the health administrative department accepts an application for medical institution registration, it shall publicize the basic conditions of the medical institution applying for registration, and shall follow the twenty-sixth rule of the Regulations for the Implementation of the Regulations for the Management of Medical Institutions. Article for audit; if it is qualified, issue a "Practice License for Medical Institutions"; The reason not to approve the audit results and notify the applicant in writing.

According to the relevant provisions of the Maternal and Child Health Care Law and its implementation methods, after the obstetrics and gynecologists have passed the maternal and child health care technical training and passed the assessment, relevant contents of the maternal and infant health care technical service will be added to the doctor’s practice certificate and will not be issued separately. Maternal and child health technology examination certificate.

Local health administrative departments at all levels must attach great importance to the examination and approval work of medical institutions and physicians. In accordance with the requirements of this Circular, the detailed implementation of supporting implementation rules shall be implemented to properly read and understand policy publicity, and service guides and procedures for related matters shall be timely updated and improved. Strive to let relevant agencies and personnel handle only one door and run once.

National Health Council National Administration of Traditional Chinese Medicine

June 15, 2018