Supervision of high-value consumables, medical insurance bureau leading consumables bidding, strict investigation of bribery

Medical Network August 4th

Focus on supervising high-value consumables, it is no longer a hospital, the provinces and cities are so simple, the State Council is concerned!

The tender procurement of high-value consumables will also usher in a very significant change - will be led by the Medical Insurance Bureau.

Behind these two heavy news, what changes will be made in the field of high-value consumables?

On August 3, the Chinese government website issued the “Guiding Opinions of the General Office of the State Council on Reforming and Improving the Comprehensive Supervision System for the Medical and Health Industry” (hereinafter referred to as the “Opinions”), and deployed the comprehensive supervision of the medical and health industry in the new era.

According to the "Opinions", from the key supervision of public medical and health institutions to the supervision of the whole industry, from focusing on ex ante approval to focusing on the whole process supervision after the event, from individual supervision to comprehensive coordinated supervision, from the main use of administrative means to the overall use of administration, law, Economic and information and other means to improve regulatory capacity and level.

The following is a reporter from Xinhua News Agency interviewed the relevant person in charge of the National Health and Health Committee on the issue of 'What is the difference between the comprehensive supervision of the medical and health industry and the previous regulatory model?

Question: What are the main directions for reforming and improving the comprehensive supervision system for the medical and health industry? What is the difference between comprehensive supervision and the previous regulatory model?

A: The guiding ideology for reforming and improving the comprehensive supervision system of the medical and health industry is to change the regulatory concept, system and methods, from focusing on the supervision of public medical and health institutions to the supervision of the whole industry, from focusing on ex ante approval to focusing on the whole process supervision after the event, from individual items. Supervision has shifted to comprehensive coordinated supervision, from the main use of administrative means to the overall use of administrative, legal, economic and information means to improve the regulatory capacity and level, to provide a strong support for the implementation of a healthy China strategy, comprehensive life cycle to protect people's health.

The opinions are divided into general requirements, clear supervision subjects and responsibilities, strengthen the whole process supervision, innovate the supervision mechanism, and strengthen the implementation of the five parts. The main contents include: clarifying the guiding ideology, basic principles and overall objectives of the comprehensive supervision system of the medical and health industry; Clarify the main body of supervision and responsibility, promote the formation of institutional autonomy, industry self-discipline, government supervision, and social supervision combined with a diversified comprehensive supervision system; clarify the regulatory content, access to medical and health services, medical service quality and safety, medical and health Institutional operation, public health services, medical and health practitioners, medical and health service industry order, supervision of the whole process of the health industry; proposed innovative supervision mechanism.

In order to promote the implementation of various policies and measures, the opinions put forward the efforts to increase accountability, establish an authoritative and effective supervision mechanism, etc., and clearly define the division of tasks and the division of responsibilities of the comprehensive supervision department of the medical and health industry.

Read through the full text of the "Opinions", Cypress Blue equipment found that the following are directly related to the medical device industry: Severe strike medicine Commercial bribery in the field of purchase and sale, tracking and supervision of high-value medical consumables, the National Medical Insurance Bureau to develop consumables bidding procurement policy, and to join hands with the bank insurance regulatory authorities.

The "Opinions" mentioned that strengthening the procurement and use of medicines and consumables for medical institutions, medical instruments Supervision of medical related products. Implementation of clinical pathway management and clinical pharmacist system, implementation of prescription review system. Establish and improve the system of overdose early warning of clinical drugs and follow-up monitoring system for auxiliary drugs, high-value medical consumables, etc. 3. Evaluate and deal with illegal and illegal use according to law.

In the supervision of medical and health institutions, it is important to supervise public medical and health institutions to eliminate the mechanism of medicine and medicine, implement medicines, consumables procurement system and medical service price policy, establish a scientific and reasonable internal salary distribution mechanism, etc., and control the unreasonable growth of medical expenses. At the same time, to improve information disclosure and internal and third-party audit mechanisms, it is necessary to increase public hospital Personnel expenditure, capital construction and equipment purchase expenses, liabilities and other regulatory efforts.

The results of supervision should be linked to the assessment of medical and health institutions, directly involving the main person in charge of the hospital, and the relevant responsible persons should be promoted, rewarded and punished.

The more important one is, 'Strictly crack down on commercial bribery in the field of medicine purchase and sale, and seriously investigate and deal with cases that harm the interests of the people with a zero tolerance attitude.'

In the division of key tasks, the National Health and Health Commission, the Ministry of Education, the State-owned Assets Supervision and Administration Commission, the General Administration of Customs, the National Medical Insurance Bureau, the State Administration of Traditional Chinese Medicine, the State Food and Drug Administration, and the Health Bureau of the Central Military Commission Logistics Department are responsible for strengthening medical care. Institutional procurement and use drug , consumables, medical equipment and other medical related products supervision.

In the division of responsibilities, the market supervision department is responsible for the price supervision and inspection of the medical and health industry. The medical security department is responsible for organizing the formulation and adjustment of medicines, medical service prices and charging standards, and the formulation of medicines and medical consumables. Tender Procurement policy and supervision of implementation, in conjunction with the bank insurance supervision department in accordance with the responsibility of supervision and management of medical institutions related to medical services and medical expenses.

It can be seen that in the field of medical device purchase and sale, commercial bribery will be severely cracked, and the procurement policy for consumables is fully controlled by the National Medical Insurance Bureau.