中文简体blockbuster! Issued by four departments "Management Measures for Mutual Recognition of Inspection and Testing Results in Medical Institutions"
2022 year 2 moon 18 day, To further improve the utilization rate of medical resources, Reduce the burden of medical treatment on the people, Ensure medical quality and safety, The National Health Commission and four other departments jointly formulated "Management Measures for Mutual Recognition of Inspection and Testing Results in Medical Institutions" . This method is from 2022 year 3 moon 1 Effective from [date].
"Management Measures for Mutual Recognition of Inspection and Testing Results in Medical Institutions"
Article 1 To further improve the utilization rate of medical resources, Reduce the burden of medical treatment on the people, Ensure medical quality and safety, according to "Basic Medical and Health Care and Health Promotion Law of the People's Republic of China" "Physician Law of the People's Republic of China" "Regulations on the Management of Medical Institutions" "Regulations on the Supervision and Administration of the Use of Medical Security Funds" "Medical Quality Management Measures" "Management Measures for Clinical Laboratories of Medical Institutions" Waiting for relevant laws and regulations, Develop this method.
Article 2 The inspection results referred to in these measures, It refers to the use of ultrasound, X line, Magnetic Resonance Imaging, electrophysiology, Nuclear medicine and other methods are used to examine the human body, The obtained image or data information; The so-called test results, refers toBiological analysis of materials from the human body, Microbiology, Immunology, chemistry, Hematologic Immunology, Hematology, biophysics, Cytological and other tests, The obtained data information. The inspection results do not include the diagnostic conclusion issued by the physician.
The third This method applies to all levels and types of medical institutions.
Article 4 Medical institutions should follow the "Taking quality and safety as the bottom line, Based on the premise of qualified quality control, Guided by reducing patient burden, Based on meeting the needs of diagnosis and treatment, Based on the judgment of the attending physician" The principle of, Carry out mutual recognition of inspection and testing results.
Article 5 The National Health Commission is responsible for the management of mutual recognition of inspection and testing results among medical institutions nationwide. The National Healthcare Security Administration promotes mutual recognition and support of inspection and testing results among medical institutions nationwide within its scope of responsibilities.
The health administrative departments in various regions are responsible for the mutual recognition and management of inspection and testing results of medical institutions within their respective administrative areas. Local medical security authorities shall promote mutual recognition and support of inspection and testing results of medical institutions within their respective administrative regions within their scope of responsibilities.
The State Administration of Traditional Chinese Medicine and the military health authorities are responsible for the mutual recognition and management of inspection and testing results between traditional Chinese medicine and military medical institutions within their respective areas of responsibility.
Article 6 Health administrative departments in various regions should strengthen the organizational management of medical institutions within their jurisdiction, Guide medical institutions and their medical staff to standardize the mutual recognition of inspection and testing results, According to the functional guidelines for the construction of the National Health Information Platform, Strengthen the construction of regional platforms, Promote the exchange and sharing of inspection and testing results among medical institutions in the jurisdiction.
Article 7 According to the health administrative departments in various regions "Medical Quality Management Measures" Established or designated levels, Professional medical quality control organizations (Hereinafter referred to as the Quality Control Organization) Should be guided by the same level of health administrative department, Develop and improve quality evaluation indicators and quality management requirements for inspection and testing projects at this level.
Quality control organizations at all levels shouldStrengthen the quality management of inspection and testing projects in the local area and profession, Regularly and standardly carry out quality evaluation work, Promote local medical institutions to improve the quality of inspection and testing.
Article 8 Medical institutions should follow the standards and specifications for hospital information construction, Strengthen the construction of hospital information platform with electronic medical records as the core. Establish and improve the mutual recognition management system within this institution, Strengthen personnel training, Standardize workflow, Provide necessary equipment, facilities, and security measures for mutual recognition among medical personnel.
Article 9 The leading hospital of the medical consortium should promote the interconnection and intercommunication of data information within the medical consortium, Strengthen the quality control of inspection and testing, Improve the homogenization level of inspection and testing, Realize mutual recognition and sharing of inspection and testing results.
Article 10 Medical personnel should comply with industry standards, Adhere to medical ethics, Reasonable diagnosis and treatment, Strive to improve professional level and service quality, Can fully recognize the inspection and testing results that meet the conditions.
Article 11 The inspection and testing items to be carried out for mutual recognition should have good stability, Having unified technical standards, Facilitating quality evaluation.
Article 12 Meet national quality evaluation indicators, And participate in the inspection and testing projects that have passed the national quality evaluation, The scope of mutual recognition is nationwide. Meet local quality evaluation indicators, And participate in the inspection and testing projects that pass the quality evaluation of local quality control organizations, The scope of mutual recognition is the region corresponding to the quality control organization.
Signing agreements in different regions, Jointly carry out inspection, testing and mutual recognition work, Relevant regional health administrative departments should jointly establish or designate quality control organizations to carry out relevant work. Participate in relevant quality evaluations and pass them, The scope of mutual recognition is within the agreement area.
Article 13 The mutual recognition mark for inspection and testing results of medical institutions shall be unified as HR. Participate in quality evaluations conducted by quality control organizations at all levels and ensure that the inspection and testing items are qualified, Medical institutions should indicate their corresponding scope of mutual recognition+Mutual Recognition Mark. as: "nationwide HR" "Beijing-Tianjin-Hebei HR" "Xicheng District HR" wait. Failure to participate in quality evaluation as required or inspection items that fail quality evaluation, No labeling allowed.
Article 14 Provincial health administrative departments should guide medical institutions in their jurisdiction to unify the format of inspection and testing result report forms, The inspection results should indicate the testing method and reference interval used. Encourage medical institutions to issue mutually recognized examination and testing results within the same region in a single report, And mark the corresponding mutual recognition area scope and mutual recognition identification uniformly on the report form.
Article 15 Health administrative departments in various regions should guide quality control organizations at the same level to regularly sort out the list of mutual recognition projects among medical institutions in their jurisdiction, And strengthen public disclosure in accordance with relevant regulations, Easy for medical institutions and the general public to inquire and understand.
Article 16 Medical institutions and their medical staff should, on the premise of not affecting the diagnosis and treatment of diseases, Mutual recognition shall be granted to inspection and testing results marked with national or local mutual recognition marks. Encourage medical personnel to combine clinical practice, Without affecting the diagnosis and treatment of the disease, Mutual recognition of other inspection and testing results.
Article 17 The existing examination and testing results provided by the patient meet the mutual recognition criteria, Meeting the needs of diagnosis and treatment, Medical institutions and their medical staff are not allowed to conduct repeated examinations and tests.
Article 18 Medical personnel should issue examination and testing orders based on the patient's condition. For inspection and testing items that meet the mutual recognition criteria, No related fees shall be charged again in the form of packaging with other projects, etc.
(one) Due to changes in the patient's condition, Check the correlation between the test results and the patient's clinical manifestations, Disease diagnosis does not match, Difficult to meet clinical diagnosis and treatment needs;
(two) The examination results change rapidly during the development and evolution of the disease;
(three) The inspection and testing items are of great significance for the diagnosis and treatment of diseases (Like surgery, Before major medical measures such as blood transfusion) ;
(four) The patient is in the emergency department, Emergency situations such as first aid;
(five) Involving the judiciary, Identification of disability and medical leave;
(six) Other situations that require re examination.
Article 20 Conditional medical institutions can open examination and testing clinics, By medical imaging and radiation therapy professionals or medical laboratory, Visiting by licensed pathologists, Provide independent disease diagnosis report services.
Article 21 Medical institutions and their medical staff should strengthen doctor-patient communication, For inspection and testing items that are not mutually recognized, Explanations and clarifications should be provided, Fully inform the purpose and necessity of retesting, etc.
Article 22 The instruments and equipment used by medical institutions for conducting inspections and tests, Reagent and consumables should meet relevant requirements, And verify the instruments and equipment according to regulations, detection, calibration, Stability measurement and maintenance.
Article 23 Medical institutions should strengthen the quality management of inspection and testing departments, Establish a sound quality management system, And take the quality management situation as an important indicator for the comprehensive target assessment of department heads.
Article 24 Medical institutions should standardize indoor quality control, And promptly report to the health administrative department or quality control organization in accordance with relevant requirements, Accurately report relevant quality and safety information such as indoor quality control of our institution.
Article 25 Medical institutions shall participate in quality evaluations organized by quality control organizations in accordance with relevant regulations. The frequency of participating in corresponding quality evaluations for inspection and testing items that have been marked with mutual recognition marks shall not be less than once every six months.
Article 26 Health administrative departments and their entrusted quality control organizations in various regions shall comply with relevant regulations, Regularly conduct spot checks on the quality of inspections and testing of medical institutions in the jurisdiction. Spot checks should be conducted in accordance with "Double random one public" The way of organizing and carrying out.
Article 27 Health administrative departments in various regions should strengthen the construction of inspection and testing capabilities in their jurisdiction, Regularly organize personnel training, on-site inspection, Results monitoring and other related work.
Article 28
(one) Checking the test results can meet the needs of diagnosis and treatment, Medical institutions by door (urgent) Corresponding examination fees will be charged for diagnosis and examination, no extra charge.
(two) Check that the inspection results meet the mutual recognition requirements, But it is necessary for the relevant inspection and testing departments to jointly participate in order to complete the mutual recognition of inspection and testing results, On the basis of charging examination fees, additional consultation fees can be charged in accordance with the pricing policy implemented by our hospital.
(three) Check that the inspection results meet the mutual recognition criteria, But it falls under the circumstances stipulated in Article 19 of these Measures, Unable to assist in diagnosis, It is necessary to recheck, Collect actual medical service fees incurred.
Article 29 Medical security departments at all levels should actively promote payment method reform, Guide medical institutions to actively control costs, Strengthening the vertical analysis and horizontal comparison of medical service behavior, Strengthen the performance evaluation and assessment mechanism for the use of medical insurance funds. at the same time, Reasonably determine the total budget of the medical insurance fund, No reduction in regional total budget and individual medical institution budget due to mutual recognition of inspection and testing results.
Article 30 Conditional medical institutions may include the mutual recognition of examination and testing results among medical staff in their performance allocation and assessment mechanism.
Article 31 Encourage medical security agencies at all levels to use the mutual recognition of inspection and testing results conducted by medical institutions as the evaluation criteria for designated medical insurance institutions.
Article 32 Health administrative departments in various regions have the right to conduct inspections, Supervise and inspect the mutual recognition work of medical institutions within the jurisdiction through recording and other methods, Medical institutions are not allowed to refuse, Obstructing or concealing relevant information.
Article 33 Health administrative departments in various regions should regularly conduct work assessments, Medical institutions and their medical personnel who violate relevant regulations shall be held accountable in accordance with the law and regulations.
Article 34 Health administrative departments in various regions should fully utilize information technology tools, Real time monitoring of mutual recognition and data sharing of inspection and testing results among medical institutions, Propose improvement requirements for medical institutions with prominent problems.
Article 35 rightDisputes arising from mutual recognition of inspection and testing results, Each responsible party shall bear corresponding responsibilities in accordance with the law and regulations.
Article 36 forge, falsify, conceal, Altering the inspection results and causing adverse consequences, The violator shall bear corresponding responsibilities in accordance with the law and regulations.
Article 37 This method is interpreted by the National Health Commission in conjunction with the National Medical Insurance Administration.
Article 38 Provincial health administrative departments shall, in accordance with these Measures, Develop specific implementation plans based on local conditions. Encourage regions with conditions, Jointly develop implementation plans, Promote cross provincial mutual recognition of inspection and testing results.
Article 39 This method is from 2022 year 3 moon 1 Effective from [date].
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