The amount of consumables is large, dangerous! The doctor is either fined, the product is deactivated.

On July 10th, the medical network upgraded the consumption control fee. The sales volume entered the top 10 twice, and may be suspended. The doctor who opened the bill will also be reported to the medical correction office, in the performance appraisal, title employment, medical ethics The wind assessment was affected.

Yesterday, we just released the "maintenance of consumables monitoring! 30 models are strictly controlled", which is about the control of Henan Nanyang. Today, we found another city in Henan - Kaifeng, also issued a notice of key monitoring of consumables. file.

This document is entitled "Notice on the Administration of the 'Double Ten' System for the Use of High-value Medical Consumables in Medical Colleges in the City" (Zhu Wei [2018] No. 153).

In response to the request, all medical institutions must establish a "double ten" system for the use of high-value medical consumables, and establish a high-value medical consumables management committee to ensure the implementation of the 'Double Ten' system.

The so-called 'Double Ten' system is a system for monitoring the top ten high-value medical consumables and the top ten medical staff.

Notification requirements, all hospitals must establish a high-risk medical supplies high-risk key monitoring catalogue, regular high-value medical consumables in the top ten use amount and the top ten medical staff for reasonable statistics, analysis and evaluation. Among them, the tertiary hospitals are held once a month, and the medical institutions below the third level are in principle carried out at least once a quarter.

The statistical results are reported in grades. The county and district health planning committees and the municipal medical and health units will submit the summary data to the Municipal Health and Planning Commission for correction.

The document requires that medical staff who enter the unreasonable use list should be interviewed or notified, and linked to individual performance appraisal, job title and medical ethics assessment.

For high-value medical consumables that have entered the 'Double Ten' list twice, if they are deemed to be unreasonable, they should be interviewed by the main responsible person of the department, and the treatments should be restricted, disabled, etc. depending on the situation.

Unlike yesterday's Nanyang, Kaifeng took the lead in proposing the 'Double Ten' monitoring measures in the country. It can be said that Kaifeng monitoring is not only consumables, but also a group of doctors who open consumables.

in drug In the field, Henan's key monitoring is notorious in the country. For example, in February this year, the Henan Provincial Medical Reform Office released 61 companies. hospital Monitoring list of antibacterial use.

In the past more than a month, the office has repeatedly released 21 hospitals' 'Key Monitoring of Nutritional, Auxiliary Drugs Catalogue', which has shaken the industry.

It can be said that after the drugs, Henan is taking advantage of the high-value consumables. This may be a light-skilled road, but it is extremely powerful. I believe that in Nanyang, outside Kaifeng, it is expected that other cities in Henan will also release similar documents, with high sales volume. Value consumables, may have trouble in Henan.

In addition to Henan, on March 6 this year, Guangxi Weizhou Municipal Health Planning Commission also issued the "Notice on the Management of Key Monitoring Drugs and High-value Medical Consumables for Medical Institutions".

The notice requires all public hospitals to separately calculate the top ten consumables information of the unit's usage and amount. The information is reported once a month. The hospital must report the name of the high-value consumables used. It must also report the quantity used, the name of the manufacturer, the unit price, and the total amount of use.

In the three consecutive quarterly notifications, if any one of the high-value consumables rankings (quantity or amount) continues to enter the top ten and there is no reasonable reason, the Municipal Health and Family Planning Commission will ask the organization to waive the program in addition to ordering to stop using the variety. Dean's position.

This can be seen, the earliest implementation of consumables control fees, the development of monitoring the provinces and cities, and the most very strict control of a document.

At that time, the author once judged that more areas outside Cangzhou City will also launch local high-cost key monitoring measures. High-value consumables are welcoming the sun, concentrated purchase After the major changes, we must also ushered in a major change in the use of hospitals. Large quantities, expensive, will be the first impact!

In the middle of last year, the National 9 ministries and commissions jointly issued a notice, which opened the prelude to the special rectification of national medical consumables. The detailed investigation of the 9 ministries and commissions, one of the key tasks of remediation is to explore the establishment of a long-term regulatory mechanism for consumables.

The notice requires that medical institutions improve the internal management system of consumables, strengthen the in-house information management level of consumables, focus on monitoring the use of high-value consumables, and conduct retrospective re-evaluation of cases for doctors who use consumables that exceed the average level of the same subject. The results were interviewed.

The specific measures for the control of fees and charges introduced in various places, including the introduction of the list of control fees, mainly to implement the national policy documents.

The County Health and Family Planning Commission (Health Bureau), the municipal health care units:

In order to further strengthen the city's medical and health care system, the risk prevention and control work, promote the standardization of medical consumables, and rational use, effectively reduce the economic burden of the people's medical treatment, according to the Provincial Health and Family Planning Commission's "Opinions on Strengthening the Construction of Health and Family Planning System" (Yu Wei [2017] No. 1) The special management work requirements for mental and medical consumables, combined with the actual situation of our city, have been decided to implement the 'Double Ten' system management for the use of high-value medical consumables in our city.

The use of high-value medical consumables should be based on the clinical diagnosis and treatment needs and the actual situation of patients, in accordance with the principles of science, rationality and standardization, and moderate use.

'Double Ten' refers to the top ten medical staff who use the top ten high-value medical consumables and the top ten medical staff. All medical institutions must establish a high-value medical consumables using the 'double ten' system to establish high-value medical The consumables management professional committee established a corresponding evaluation system, effectively strengthened management, improved the supervision and inspection mechanism, and ensured the implementation of the 'Double Ten' system.

(1) All medical institutions shall publicize the names, specifications and price of high-value medical consumables through public notice columns to improve the transparency of medical expenses.

(2) When using high-value medical consumables, all medical institutions should fully respect the patient's wishes and sign the “informed consent form” with the patient. At least two different price points should be provided to the patients. High-value medical consumables from different manufacturers are available for patients to choose independently. .

(1) All medical institutions must establish a high-risk key monitoring catalogue of high-value medical consumables in line with the actual situation of the unit.

(2) All medical institutions shall make full use of information technology to regularly conduct statistical analysis, analysis and evaluation of the top ten medical supplies and the top ten medical personnel in the top ten use amount. Once a month, medical institutions below the third level are in principle carried out at least once a quarter.

(3) The statistical results are reported in grades. The county health and family planning committees and the municipal medical and health units will submit the summary data to the Municipal Health and Planning Commission.

The high-value medical consumables management professional committees of all medical institutions shall regularly evaluate the statistical results of high-value medical consumables, and shall take timely intervention measures for unreasonable use:

(1) Having interviewed or notified the medical staff who entered the unreasonable use list of high-value medical consumables twice, and linked with the individual's performance appraisal, title employment and medical ethics appraisal;

(2) For high-value medical consumables that have entered the 'Double Ten' list twice, the high-value medical consumables management professional committee shall determine the unreasonable use of the product regulations, and the principal responsible persons of the department shall be interviewed, and shall be restricted according to the circumstances. Disable processing.

The Municipal Health Planning Commission will carry out special inspections on the implementation of the 'Double Ten' system, and conduct random checks on the high-value medical consumables data reported by various medical institutions. If the implementation system is weak, the medical institutions that are not in place and have serious problems in spot checks will be The citywide notifications were made. The Provincial Health Planning Commission also used this work as an important basis for participating in the 'Henan Provincial People's Satisfaction Hospital'.

All units in all counties and districts should attach great importance to the use of the 'Double Ten' system for high-value medical consumables, conscientiously implement 'promoting changes through cases', effectively strengthen the prevention and control of integrity risks, promote the practice of medical personnel in accordance with the law, and maintain a good image of the medical and health industry. .

June 20, 2018