Mutual recognition of inspection and testing results will be included in performance evaluation, These key points have been marked for you!

2022-03-01 1377


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source: County Health Media Chinese Journal of Health Information Management Yixinbang

 

  Notice from the National Health Commission on Accelerating Mutual Recognition of Test Results and Six Key Work Requirements


"Notice on Accelerating the Mutual Recognition of Inspection and Testing Results"


recently, Issued by the National Health Commission "Notice on Accelerating the Mutual Recognition of Inspection and Testing Results" (hereinafter referred to as "notice" ) . "notice" Intended to promote mutual recognition and sharing of inspection and testing results, Improve the efficiency of medical resource utilization, Reduce the burden of medical treatment on the people.



"notice" clarify, Encourage regions with conditions to establish independent medical imaging diagnostic centers, Medical laboratory and other facilities are included in the mutual recognition system, Provide inspection and testing services for medical institutions in the region, Realize resource sharing. at the same time, Medical institutions should establish a performance allocation system guided by public welfare, Encourage medical personnel to analyze and interpret examination and test results, The implementation of mutual recognition of inspection and testing results as an assessment indicator for performance allocation.




Six key tasks for promoting mutual recognition of inspection and testing results




Issued by the National Health Commission "Notice on Accelerating the Mutual Recognition of Inspection and Testing Results" Six requirements were put forward, They are to effectively enhance ideological awareness, Establish a mutual recognition system for results, Strengthen inspection and quality control, Promote mutual recognition and sharing of inspection data, Optimize incentive measures, Strengthen work supervision. To summarize, "guidance" Reflects the following requirements.


one, Establish a mutual recognition system for jurisdictional results

"notice" point out, Provincial health administrative departments should establish a mutual recognition system for inspection and testing results within their jurisdiction based on the actual situation, Clarify the scope of mutual recognition institutions, condition, Diagnosis and Treatment Items (content) And technical standards, etc, Prioritize selecting those with good stability, Mutual recognition of high-value and high-frequency inspection items.


Provinces with conditions can jointly formulate work plans, Gradually achieve mutual recognition of inspection and testing results among medical institutions across provinces. Encourage regions with conditions to establish independent medical imaging diagnostic centers, Medical laboratory and other facilities are included in the mutual recognition system, Provide inspection and testing services for medical institutions in the region, Realize resource sharing.


two, Each region should establish mutual recognition institutions, Project Publicity and Disclosure

Each region should establish mutual recognition institutions, Public disclosure of the project, Easy for the public to query and understand. Medical institutions and personnel should, on the premise of not affecting the diagnosis and treatment of diseases, Recognize the inspection results issued by medical institutions that have been included in the mutual recognition system for inspection and testing results, No more repeated checks will be conducted. For diagnosis and treatment needs, It is necessary to conduct another inspection and testing, Explanation work should be done well, Fully inform the patient or their family of the purpose and necessity of the examination, etc.


three, Strengthen the quality control of inspection and testing in medical institutions

"notice" point out, Provincial health administrative departments should strengthen the quality control of inspection and testing work in medical institutions, Establish an inspection and quality control expert group, Guide personnel training in various regions, on-site inspection, Indoor quality control, Related work on inter room quality evaluation.


All relevant medical institutions should further improve their inspection and testing departments (room) Regulations and Standard Operating Procedures, Strengthen the training of medical and management personnel in their work, Strengthening the Science (room) internal management, Ensure high standards for issuing inspection and testing results.

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(The image is sourced from the internet)


four, Promote mutual recognition and sharing of inspection data within the region

"notice" emphasize, Each region should follow the functional guidelines for the construction of the National Health Information Platform, Strengthen the construction of regional platforms, By establishing a medical institution examination database or "cloud-based medical imaging" Waiting for form, Promote the sharing of inspection data, Realize interconnectivity and mutual recognition of examination data among medical institutions within the region. Each medical institution should follow the standards and specifications for hospital information construction, Strengthen the construction of hospital information platform with electronic medical records as the core, Gradually achieve digital storage and transmission of examination data while protecting patients' personal privacy.


five, Include mutual recognition of inspection results in performance evaluation

"notice" point out, All regions should fully mobilize the enthusiasm of medical institutions and medical personnel to carry out mutual recognition of inspection and testing results, Establish a long-term effective operational mechanism. Medical institutions should establish a performance allocation system guided by public welfare, Encourage medical personnel to analyze and interpret examination and test results, The implementation of mutual recognition of inspection and testing results as an assessment indicator for performance allocation, Make the income of medical personnel truly reflect the value of labor and technology.


six, Real time monitoring of mutual recognition of inspection results through informatization

Provincial health administrative departments should strengthen the supervision and management of medical institutions that have been included in the mutual recognition system, For those who fail to meet quality or management standards, Timely urge rectification or remove it from the mutual recognition system. Fully utilize information technology to monitor in real-time the mutual recognition of examination results and data sharing among medical institutions, For high-value high frequency, Real time monitoring of inspection items highlighted by public feedback, Gradually achieve automatic detection of unreasonable inspections, auto-reminder, Automatic intervention.

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(The image is sourced from the internet)



Using information technology to promote mutual recognition of inspection results

       Clear content is required, unified standard




To promote mutual recognition and sharing of inspection data, To follow the requirements of the functional guidelines for the construction of the National Health Information Platform, strengthenRegional platform construction, By establishing medical institutionsCheck the database or "cloud-based medical imaging" Waiting for form, Promote the sharing of inspection data, Realize interconnectivity and mutual recognition of examination data among medical institutions within the region. Each medical institution should follow the standards and specifications for hospital information construction, strengthenConstruction of Hospital Information Platform with Electronic Medical Records as the Core, Gradually achieve while protecting patients' personal privacyCheck the digital storage and transmission of data.


Using information technology to promote mutual recognition of inspection results, Apart from using "cloud-based medical imaging" , Digital storage and transmission methods, In practical work, It is also necessary to clarify the content of mutual recognition of inspection and testing, as well as the need for unified standards.



    The mutual recognition of inspection results generally includes two aspects:

Clinical testing items


Hospitals achieve real-time uploading of test reports, Upload all test report contents of the patient to the regional medical platform, The mutually recognized testing items include clinical biochemistry, Clinical Immunology, complete blood count, urinalysis, Bacteria, etc.


Medical imaging examination items


Hospitals implement real-time uploading of examination reports and images, Upload all patient examination reports and images to the regional medical platform, The mutually recognized inspection items include ordinary radiographic examination, Computerized tomography (CT) scan (CT) check, magnetic resonance (MRI) Inspection, etc.



    Unified standards are required for mutual recognition of results, It mainly includes two aspects:

Unified Data Exchange Standard


The regional platform provides unified registration and uploading of inspection and testing reports for the connected medical and health institutions, query service, Unified data upload standards, Standardize data storage structure, And provide unified sharing and exchange services .


Real name authentication standard


Real name medical treatment is the foundation for achieving information sharing. Each medical institution implements real name registration for medical treatment, Provide a unique identity identifier, Through ID number / Association between Citizen Health Card Number and Citizen Health Record, And can be uniquely matched as a patient. The provided view fields include identity unique identification rules, Consistent with the ID number number or card number provided, Associated with inspection and testing records.


check, The test results are the basis for medical staff to diagnose and treat patients, Promote inspections between medical institutions at all levels, Mutual recognition of inspection results reduces duplicate checks, Key measures to reduce patients' medical expenses, Widely recognized by the government and the public. although, In the process of promoting mutual recognition of inspection and testing results, various problems and difficulties may be encountered, However, medical institutions and personnel at all levels are still constantly exploring in practice, Continuously summarizing experience, Check it out, Implementation of mutual recognition of inspection results. To ease the doctor-patient relationship, Make persistent efforts. Implement inspection, Mutual recognition of inspection results, For the rational and effective utilization of health resources, Reduce patient medical expenses, Simplify the patient's medical process, Improving medical services, Reflecting the service concept of people-oriented in the medical process, Of great significance.



  

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