The new standard is coming, directly benefiting the machinery and enterprises! All hospitals must perform

Medical Network September 25th In 2018, the national service standards for township hospitals came, and every hospital must be implemented.

September 21, National Health and Wellness Committee, in the country medicine The Bureau issues a notice on the implementation of the 'Quality Service Grassroots Bank' (hereinafter referred to as the “Notice”), and all township health centers and community health service centers registered with the health and health administration are required to participate.

At the same time, it is also the focus of everyone's attention - "The Township Health Service Capability Standard" officially released!

For a long time, township hospitals have mainly set up according to the "Basic Standards for Medical Institutions". There is no unified blueprint for specific functional positioning and service capacity standards. With the further development and implementation of the 'Quality Service Grassroots Bank' activities, national health The construction of the hospital will be further standardized, and the functional positioning will be more accurate. The hospital will be more capable of providing medical services to the masses after the comprehensive improvement.

So, what standards must the township hospitals meet in the new era? Let’s take a look:

The new version of the standard a total of 100, divided into 88 basic terms and 12 recommended terms, using ABCD four grades for scoring, A file for 'excellent', B file for 'good', C file for 'qualified', D file representative 'Unqualified'.

There is a division standard for the basic requirements of the hospital. That is, among the 88 basic clauses, the proportion of the C file must reach 95%, the B file should be 50% or more, and the A file should be 20% or more.

The "Notice" mentioned that adding additional clauses to health centers that perform well in accordance with the recommended standards can be said to be a plus item. What are the specific contents?

The new version of the standard has been marked with ★, which is the other 12 recommendations in the 100, reflected in the basic medical and public health services and business management capabilities, the specific details are as follows:

★Service method: Telemedicine service

★Service content and level: Women (Medical) Medical Services, Eye, ENT Medical Services, Oral Health Services, Rehabilitation Medical Services

★ Medical Quality Management: Surgery, Anesthesia Authorization Management, Surgery Management, Pre-anesthesia Assessment and Discussion System, Blood Transfusion Management, Hemodialysis Management, Rehabilitation Management

★ Patient Safety Management: Surgical Safety Verification System

Combining with the spirit of the document and the 12 recommended terms, the hospital has highlighted the business ability, especially the coverage of the medical subjects and the ability to carry out the surgery. It can be seen that the hospital is promoted to the second level. hospital The pre-conditions of the pre-conditions, especially focusing on the improvement of medical ability.

The original version of the original version of the standard is very long. I will not repeat it here. The key points and highlights will be presented to everyone:

1. Must establish a general medical department

The requirements of the new version of the standard in the setting of the department have been organized as follows, mainly divided into five categories:

Basic department setting: General Medical Department, Internal (Child), Department of Surgery, Women (Production), Chinese Medicine.

Functional departments: Infusion room, emergency (rescue) room, intestines and fever room, etc. Medical technology and other departments: Pharmacy, Laboratory, Radiology, B-room, ECG room (B-ultrasound and ECG room can be combined)

Public health or preventive health department: vaccination room, vaccination observation room, child health room, women's health room, health education room, etc.

Family Planning Division: There are places to carry out family planning technical services and related facilities, such as family planning science knowledge publicity materials and medicine display cabinets.

Functional departments: hospital office, party office, medical affairs, nursing, finance, medical record management, information, hospital sense, medical insurance settlement, logistics management, etc. (兼) jobs.

As can be seen from the above settings, the General Practice Division has been set as a mandatory option for the department, which is not mentioned in the previous standards.

2. Personnel must include general practitioners

In addition to meeting the "Basic Standards for Medical Institutions (Trial)" (San Wei Fa [1994] No. 30), at least one registered general practitioner should be established, and at least two Chinese medicine practitioners should be established. .

At the same time, the "Notice" mentioned that township hospitals that meet the recommended standards can participate in the evaluation of secondary hospitals in accordance with relevant conditions, and further strengthen medical quality management. This also means that from now on, all township hospitals nationwide will usher in It’s not just a huge capacity to raise the reserve battle, it’s still a fierce competition.

Provincial, autonomous region, municipality directly under the Central Government and Xinjiang Production and Construction Corps Health and Family Planning Commission, Chinese Medicine Bureau:

In order to thoroughly implement the party’s 19th National Congress and the 'health The spirit of China's '2030 Planning Outline' continued to improve grassroots service capabilities and improve service quality. The National Health and Health Commission and the State Administration of Traditional Chinese Medicine decided to launch the 'Quality Service Grassroots Bank' activity. The relevant matters are hereby notified as follows:

(1) Guiding ideology. Adhere to the party's health and health work guidelines in the new era, meet the needs of the masses' basic medical and health services, and focus on building a quality and efficient medical and health service system. On the basis of the activities of the hospital and the demonstration community health service center, the “Quality Service Grassroots Bank” activity (hereinafter referred to as the activity) will be carried out. Through the activities, the masses will be able to enjoy safe, effective, convenient and economic basic medical and health services. Improve the people's sense of gain, and lay a solid foundation for the establishment of a graded diagnosis and treatment system and the construction of a healthy China.

(ii) Basic principles. Activities follow 'level responsibility, strict standard The principle of comprehensive coverage, openness and fairness. Clarify the responsibilities of health administrative departments at all levels (including the competent authorities of Chinese medicine, the same below), and refine the tasks of work and tasks; formulate townships according to the functional orientation of township hospitals and community health service centers. Standards for service capacity of health centers and community health service centers; mobilize and guide all township health centers and community health service centers to participate in activities, improve service capabilities and improve service quality against standards; proactively disclose activity processes and results, and accept social and mass supervision.

(I) Activity objectives. Through activities, gradually establish service capacity standards and evaluation systems that meet the characteristics of China's primary health care institutions. Strive to make the service capacity of township health centers and community health service centers meet basic standards, and some service capabilities are strong. Township hospitals and community health service centers meet the recommended standards.

(2) Scope of activities. Activities are carried out nationwide. All township health centers and community health service centers registered with the health and health administrative departments shall participate in the activities. Village clinics and community health service stations may refer to implementation.

(III) Form of activity. This activity takes the service capacity building of township hospitals and community health service centers as the main form to further meet the basic medical and health service needs of the masses. Encourage the forms of innovation activities in various places, and carry out evaluation and evaluation work in combination with the actual situation.

(1) Defining functional tasks. Township hospitals and community health service centers are public welfare, comprehensive primary health care institutions, which are responsible for the diagnosis and treatment of common diseases and frequently-occurring diseases, basic public health services, family planning technical services, health management, The preliminary on-site first aid and referral tasks for critically ill patients are the basis of the urban and rural medical and health service system.

(2) Rational allocation of resources. According to the number of service population, local economic and social development level, service radius, geographical location, traffic conditions, technical level of medical personnel, business projects, workload and other factors, equipped with suitable beds, personnel, facilities and equipment .

(3) Improving the ability of medical services.

First, improve the service level. Improve the outpatient medical service ability, targeted to strengthen the common diseases in the region, counseling, diagnosis and treatment of frequently-occurring diseases; improve emergency first aid, strengthen emergency, pre-hospital emergency, emergency capacity building; strengthen hospitalization Capacity building, carry out hospitalization, surgery, childbirth and other services in line with institutional qualifications, technical access, facilities and equipment; enhance the ability of Chinese medicine and rehabilitation services, strengthen the construction of Chinese medicine, Chinese pharmacy, and carry out the comprehensive service area of ​​Chinese medicine according to requirements ( Traditional Chinese Medicine Museum, National Medical Hall) Construction, highlighting the cultural characteristics of Chinese medicine; Improve inspection and inspection service capabilities, rationally allocate and update necessary facilities and equipment, carry out routine inspections and inspection services such as ECG, ultrasound, X-ray imaging.

The second is to optimize the service mode. Reasonably set the door (emergency) diagnosis layout, guide residents to make appointments. Improve the hospital service process, strengthen patient health education and follow-up. Strengthen family doctor team building, promote 'Internet + signing service', Improve the quality and effectiveness of compliance. Conduct two-way referrals and telemedicine services to promote the sinking of medical resources.

(IV) Implementation of public health services. Provide basic public health services, carry out health management in accordance with relevant national public health service standards and other related requirements, improve the awareness of the whole society on service projects and the sense of residents' access. Cooperate with professional public health institutions. Relevant major public health services.

(5) Standardize business management. In accordance with medical quality management methods, medical treatment norms, operational routines, technical standards, service guidelines, etc., carry out disease prevention and control, strengthen hospital infection management and antibacterial drug management, standardize disposal of medical waste, promote rational use of drugs, and Improve medical quality, ensure medical safety, and continuously improve medical and health services.

(VI) Improve comprehensive management. Strengthen party building work, work style construction, performance appraisal, financial revenue and expenditure budget, logistics support, information service and division of labor and other management systems, and strictly implement relevant rules and regulations.

(1) Establishing a leadership organization. The National Health and Health Commission set up an activity leading group to be responsible for the overall design of the event, coordinating and coordinating, guiding the development of local activities, and setting up an expert guidance group to conduct on-site and effective implementation of the activities and effects on a regular or irregular basis. Guide and organize training in a timely manner. The local health administrative departments at all levels set up a leading group at the same level to be responsible for the leadership and organization of the activities. The leader of the leading group is in principle served by the main responsible comrades of the health administrative department at the same level. The municipal and health administrative departments shall set up corresponding special organizations or entrust third-party organizations to be responsible for the organization and coordination of activities within the jurisdiction, technical guidance and random inspection and review. The county-level health and health administrative departments are responsible for mobilizing and coordinating activities, and assisting Provincial and municipal health and health administrative departments carry out review or spot checks.

(II) Improve the service capacity standards. The National Health and Health Commission has formulated the “Village Health Service Service Capability Standard (2018 Edition)” and the “Community Health Service Center Service Ability Standard (2018 Edition)” (see Annex 1, 2). The health administrative department can make appropriate adjustments to relevant indicators and their evaluation methods based on national standards based on national standards, and serve as the basis for activities in the region.

(3) Improve the management system. The provincial health administrative department must establish a sound working system, including work processes, avoidance systems, random inspections, and expert database management methods. The expert database is in principle managed by medical institutions, medical, traditional Chinese medicine, Experts in nursing, hospital infection management, public health, health and family planning supervision, financial management, information management, etc., in principle, should have intermediate and above professional technical titles. Provincial and prefecture-level health and health administrative departments according to expert database management methods , set up the corresponding expert database. Under the unified leadership of the provincial health and health administrative department, the expert database can implement resource sharing.

(4) Conducting self-evaluation in a solid manner. During the activity cycle, the county-level health and health administrative department organizes township health centers and community health service centers within the jurisdiction to formulate specific implementation plans and supervise the implementation of the implementation plan. Township hospitals and community health The service center shall carry out self-assessment and self-examination for not less than 6 months in accordance with the requirements of the implementation plan. On the basis of finding the problem, special rectification and improvement shall be carried out for the weak links.

(5) Standardizing the evaluation process. The institutions that meet the basic standards or recommended standards apply to the county-level health and health administrative departments for review according to the procedures, and the county-level health and health administrative departments review and approve the preliminary results submitted, and the institutions that will reach the basic standards. Reported to the municipal and municipal health administrative department for review, the institutions that meet the recommended standards are reviewed and checked by the municipal and municipal health administrative departments, and reported to the provincial health and health administrative department for review. The provincial health administrative department shall set the declaration to meet the recommendation. Prerequisites for the standard, such as the number of medical treatments, medical business income, etc. The provincial or prefecture-level health and health administrative department, after receiving the application and initial approval, submit it to the designated special organization or entrust a third party to carry out the review.

(6) Strictly carry out review. The designated specialized organization or third party shall draw experts from the expert database in accordance with relevant regulations and procedures, and form a working group to conduct on-site verification. The number of experts in each working group is not less than 5 and is singular. The working group shall complete the report in time, make preliminary conclusions, and report to the provincial or prefecture-level health and health administrative department according to procedures. The provincial or prefecture-level health and health administrative department shall review and submit the preliminary conclusions submitted, and finally confirm.

(7) Confirmation of the results of the activities. After review by the municipal and health administrative departments, the township health centers or community health service centers that meet the basic standards shall be reported to the provincial health administrative department for record. The provincial health administrative department shall review The list of township health centers or community health service centers that meet the recommended standards shall be reported to the National Health and Health Commission for filing before the end of June 2019. The National Health and Health Commission shall timely present the township hospitals with outstanding performance in the activities. Communicate with the community health service center. Township hospitals that meet the recommended standards, and those who meet the relevant conditions can participate in the evaluation of the secondary hospitals, and further strengthen the quality management of medical care.

(1) Do a good job in the deployment of activities. All localities should raise awareness, be proactive, clarify the division of responsibilities, master the ability standards, and initiate the 'quality service grassroots line' activities as required. At the same time, carefully mobilize deployment work, strengthen training, and ensure primary care. Health institutions understand the connotation of activities and promote activities in an orderly manner.

(2) Ensuring the quality of activities. The provincial or prefecture-level health and health administrative departments should give priority to the selection of teaching hospitals or resident standardized training bases to undertake specific review work. All localities must grasp the work rhythm, strict activity standards, standardize verification, and time obey quality. , do not pursue the quantity, ensure that the activity is effective. For the problems found in the course of the activity, it is necessary to promptly report to the grassroots department of the National Health and Health Commission.

(3) Strengthening publicity and guidance. The National Health and Health Commission will open a column on the website and the “Health News” to publicize the contents of the activities, exchange local experiences, and publish activities in a timely manner through healthy China Weibo, WeChat public account, etc. The health administrative department, the primary health care institutions must adopt various forms of publicity to create a good atmosphere.

(IV) Selection of typical experience. All localities should thoroughly summarize the typical experiences of the activities, especially in the continuous improvement of the quality of medical and health services, optimize the diagnosis and treatment process, improve the people's medical experience, improve service capabilities, etc.. National Health and Health Commission Organize experts to select a number of innovative initiatives that are exemplary and promote them nationwide.

(V) Improve safeguard measures. Provincial health administrative departments should sort out the policies and measures that restrict the development of primary medical service capacity, such as bed setting, facilities and equipment, drug list, etc., according to activity requirements and ability standards. The support and tilting strength will form a synergistic effect. At the same time, all localities should reasonably verify the total amount of grassroots medical and health institutions, implement financial subsidies, improve performance pay policies, and further promote medical insurance policies to grassroots medical and health institutions in accordance with the requirements of deepening medical reform and other documents. Tilting; To play the role of the medical association and the medical community, to further enhance the basic service capabilities, and create a good environment for the activities.

(6) Strengthening the application of results. Health administrative departments at all levels should take activities as an opportunity to establish a long-term mechanism to continuously improve the quality of medical and health services, and actively coordinate relevant departments, in bed setting, equipment provision, special department building, medical technology. Access, senior professional and technical positions, evaluation and evaluation of the primary health care institutions to achieve the recommended standards.

Attachment: 1. Township Health Service Capability Standard (2018 edition)

National Health and Wellness Committee National Administration of Traditional Chinese Medicine

August 22, 2018