中文简体Chongqing's close medical alliance triggers a wave of change, Senxu Medical Helps with New Potential for Mutual Recognition of Results
one, Pilot scope
Selection of Fuling District, Ban'an District, Liangjiang New Area serves ascountryPilot Zone for the Construction of Tight Urban Medical Groups, Yongchuan District, Dazu District, Bishan District is includedmunicipalPilot area. encourageNon pilot counties combined with actual conditions, Independently carry outPilot work. encouragepilot areaExplore innovationFor closely knit urban medical groupsFinancial subsidy method.
two, Work objectives
to2023 year-end, Basic supporting policies for system integration, Promote the comprehensive development of various work in closely integrated urban medical groups. to2025 year, The management system of medical groups in closely connected cities in pilot areas is more scientific, Improved operational mechanism, More optimized service mode, Better matching of supply and demand of medical resources, The medical treatment pattern is more reasonable, Residents' medical needs are constantly being met, Develop replicable and beneficial experiences for promotion.
picture 2 Key tasks for the construction of Chongqing's compact urban medical group
one, Building a new system of responsibility and authority coordination
1. Establish governance mechanisms;
2. Clear grid layout;
3. Implementing a Community of Responsibility.
two, Building a new model of resource collaboration
1. Personnel integration, Establish a unified department for human resources management, Coordinate personnel management within the group.
2. Financial integration, Establish a unified department for financial management, Coordinate the operation and management within the group, Financial Management, budget management, Accounting, price management, asset management, Accounting supervision and internal control work, Improve operational management efficiency.
3. Integration of pharmaceuticals and consumables, Establish a centralized pharmacist system for medical groups in closely connected cities, Responsible for coordinating the formulation and implementation of major decisions and specific deployments for pharmaceutical management and pharmaceutical services within the group. Establish drugs within the group, consumables, Large scale equipment management platform, Prioritize the use of essential medicines, Centralized procurement with quantity, National medical insurance negotiation led by drugs and equipment, Strengthen the connection within the chronic disease medication group, Continuously optimizing and standardizing medication structure.
4. Unified Information Platform, Establish a unified information technology and management department within the group, Overall architecture design for coordinated informatization, informatization construction, Network security, etc, Support the appointment of diagnosis and treatment within the group, two-way referral, telemedicine, chronic disease management, Collaborative applications and services such as fund settlement, Implement electronic medical records, health record, Medical Visit Information, Public health information is interconnected from top to bottom.
5. Sharing high-quality medical resources, Beds within the group, appointment slot, Equipment needs to be used in a coordinated manner, At least the leading hospital 1/3 The source of outpatient numbers and 1/4 The hospital beds should be contracted with family doctors, service teams, or primary healthcare institutions for sinking.
three, Building new measures for resource collaboration
1. Integration of Inspection and Testing Services. Lead the overall construction of hospitalsmedical imaging, Medical Laboratory Testing, Electrocardiogram diagnosis, Pathological diagnosis, Disinfection supply, etcResource Sharing Center, On the basis of ensuring quality, Promote the unified implementation of clinical pathways, Unified control of medical quality, Unified Standards for Medical Services, Unified and mutually recognized inspection results, Provide integrated inspection and testing services for various medical institutions within the group, Reduce the burden of medical treatment for patients.
2. Integrated clinical services. Leading hospital to coordinate the construction of tumor prevention and treatment, chronic disease management, Minimally invasive intervention, Anesthesia pain diagnosis and treatment, Five major centers for clinical services such as intensive care, Realize integration for residents, Continuous healthcare service system.
3. Emergency and First Aid Integration. Coordinating the construction of chest pain within the group, stroke, trauma, hemoptysis, Emergency treatment for critically ill pregnant women, Emergency treatment for critically ill children and newborns "Six major centers" .
4. Integrated Quality Management. Coordinate the establishment of medical services within the group, nosocomial infection, nursing, Outpatient and Emergency, pharmaceutical affairs, medical record, Hospitalization services, Patient referral, Center for Public Health and Other Management Departments, Promote medical services, medical quality, Medical Safety Equivalent Quality Management.
5. Smooth two-way referral. Develop two-way referral standards and norms, Optimize the two-way referral process, Establish a green channel for two-way referral within the group, Gradually achieve orderly and reasonable referral.
6. Organic synergy between medical and preventive measures. Exploring the participation of disease prevention professionals in medical consortium work, Establish a community disease prevention and control area responsibility system, Improve the grid based grassroots disease prevention and control network.
7. Collaboration between General and Specialized Departments. Qualified two, Third level hospital physician, To form a team with grassroots general practitioners within the group, Provide team signing services for residents within the grid.
8. Deepen the integration of traditional Chinese and Western medicine. Developing Traditional Chinese Medicine Characteristics for Prevention and Health Care within the Group, treatment, Rehabilitation services, Encourage the establishment of traditional Chinese medicine clinics and other comprehensive service areas in grassroots medical and health institutions.
four, Building a new pattern of division of labor and cooperation
1. Improve government investment methods;
2. Improve the personnel and salary system;
3. Establish a sound performance evaluation mechanism.
five, Evaluation criteria for the construction of compact urban medical groups
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*fully comply with ISO15189: 2022 Medical Laboratory Quality and Capability Accreditation Criteria Requirements
*Fully compliant with the International Federation of Clinical Chemistry IFCC Functional characteristics and technical requirements of professional software tools for real-time quality control of patient data
*Fully compliant with the National Health Commission "Management Measures for Mutual Recognition of Inspection and Testing Results in Medical Institutions" National Health and Medical Development〔2022〕6 Objectives and Quality Control Requirements for Informationization Construction
2 moon 9 day, National Health Commission, National Development and Reform Commission, Ministry of Finance, Ministry of Human Resources and Social Security, National Administration of Traditional Chinese Medicine, The National Bureau of Disease Control and Prevention and six other ministries have already issued the notice "Pilot Work Plan for the Construction of Tight Urban Medical Groups" , Decided to launch a pilot project for the construction of close knit urban medical groups nationwide. Realize the sharing of medical resources. Coordinated construction of medical testing by closely knit urban medical groups, medical imaging, Electrocardiogram diagnosis, pathology, Disinfection Supply and Resource Sharing Center, Realize mutual recognition of inspection and testing results within closely knit urban medical groups, Establish a remote medical collaboration network covering all units of the medical consortium, Improve the efficiency of medical resource allocation and utilization.
at this "work plan" It has been explicitly proposed in China to establish a shared medical laboratory center, This means that the construction of regional medical laboratory centers in China is supported by national policies, Entering a period of rapid development, This is both an opportunity for inspectors, It's also a challenge.
then, in 6 moon 8 day, National Health Commission releases "Notice on Issuing the List of Pilot Cities for Close knit Urban Medical Groups" , confirmed 81 A pilot area. Fuling District, Chongqing, Ban'an District, Liangjiang New Area is one of them.
in 6 moon 26 day, Liaoning Provincial Health Commission, National Development and Reform Commission (NDRC) , Department of Finance, Jointly issued by the Department of Human Resources and Social Security "Notice on Issuing the Pilot Work Plan for the Construction of Close knit Urban Medical Groups in Liaoning Province" , It is related to the announcement made by Chongqing city this time "work plan" All are pilot cities implementing national documents. Except for the national pilot areas listed in the pilot city list, Chongqing has also established municipal pilot zones, And encourage non pilot districts and counties to combine with reality, Carry out pilot work independently.
It is not difficult to see, Regardless of whether it is issued by the state "work plan" , Still Liaoning, Chongqing's "work plan" middle, Unified mutual recognition of inspection results has been listed as a key task. As early as this year's5 moon 6 day, Chongqing Health CommissionIt has already been issued "Notice on Accelerating the Mutual Recognition of Inspection and Testing Results between Second level and Higher level Medical Institutions in Sichuan and Chongqing" , Request for this year 12 by the end of the month, Chongqing 29 A district (county) And Sichuan Province 15 Adjacent areas of a city 291 homeSecond level and above public comprehensive hospitals, Realize mutual recognition of inspection and testing results.
In the notice issued by the Chongqing Health Commission, Detailed list of mutual recognition methods, Mutual recognition standards and projects, This is what inspectors from Sichuan and Chongqing need to master, It also has reference value for inspectors in other regions:
one, Mutual recognition method
1. Medical institutions should proactively remind patients during consultations, If there is any recent (general 3 Within a month) Inspection and testing results issued by medical institutions with mutual recognition qualifications (marking "Sichuan-Chongqing HR" ) , Can provide relevant test result reports or medical imaging (film) For physician reference. The existing examination and test results provided by the patient meet the mutual recognition criteria, Meeting the needs of diagnosis and treatment, Medical personnel should recognize each other in accordance with the mutual recognition program and scope of application, Do not repeat inspection and testing again.
2. Medical personnel should ensure medical quality and safety while, Fully consider the possibility of disease changes and development, Carefully analyze whether the patient's examination results can meet the current diagnosis and treatment needs, Determine whether to recognize the results of external hospital inspections and tests. The recognized results of external hospital examinations and tests should be recorded in the medical records, Its content includes checking and testing results, Name of Inspection and Testing Institution, Date, etc. Medical institutions should further improve their medical management systems, Collect and analyze data from recognized external hospital inspections and tests. For diagnosis and treatment needs, It is necessary to repeat the inspection and testing, Patients or their families should be fully informed of the purpose and necessity of the examination and testing in accordance with regulations.
two, Mutual recognition standard for clinical laboratory test results
1. Clinical laboratory mutual recognition projects must implement standardized testing processes and performance verification according to requirements, Regularly conduct indoor quality control and pass national level standards, Provincial inter departmental quality evaluation.
2. The Clinical Laboratory Quality Control Center should strengthen the supervision and guidance of indoor quality control and inter laboratory quality evaluation in clinical laboratory of medical institutions within the region, Ensure the quality of clinical laboratory mutual recognition projects.
3. Clinical doctors need to comprehensively analyze the results of clinical laboratory mutual recognition projects based on the patient's condition when interpreting them.
4. Establish a mechanism for mutual recognition programs among medical institutions to withdraw and be included, The mutual recognition project did not participate in the national or provincial inter departmental quality evaluation, Medical institutions with unsatisfactory grades will be notified within the Sichuan Chongqing region, And cancel the mutual recognition qualification for non participating or unqualified projects, Re included after passing the qualification.
three, List of mutual recognition items for clinical laboratory test results
