Hebei issued the "Implementation Opinions on Promoting the High-quality Development of Public Hospitals"

Opinions of the General Office of the People’s Government of Hebei Province on the Implementation of Promoting the High-quality Development of Public Hospitals.
The people’s governments of each city (including Dingzhou and Xinji), the Xiongan New District Management Committee, and the relevant departments of the provincial government: Opinions on the High-Quality Development of Hospitals" (State Council issued [2021] No.
18), continue to deepen the reform of public hospitals, optimize the allocation of resources, make up for shortcomings, improve operational efficiency, and basically build a Public hospital service system, combined with the actual situation, put forward the following implementation opinions
.
1.
General requirements Guided by Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era, fully implement the spirit of the 19th National Congress of the Communist Party of China and the 2nd, 3rd, 4th, and 5th Plenary Sessions of the 19th National Congress of the Communist Party of China, insist on putting people's health as the center and insisting on government leadership , Dominated by public welfare, led by public hospitals, adhere to the integration of medical and prevention, combination of peace and emergency, and equal emphasis on Chinese and Western medicine, focus on modernization of capabilities, model integration, service human culture, management information, and accelerate the expansion of high-quality medical resources and the balanced distribution of regions to strengthen the system Innovation, technological innovation, model innovation, and management innovation have promoted the development of public hospitals from scale expansion to improvement of quality and efficiency, operation mode from extensive management to fine management, and resource allocation from focusing on material elements to more focusing on talent and technology elements
.
By 2025, the number of beds in public hospitals (including Chinese medicine hospitals, maternity and child care hospitals, the same below) per 1,000 population will reach 5.
9 (including primary medical and health institutions of the medical consortium), and the number of licensed (assistant) physicians per 1,000 population 3.
5 people, the number of registered nurses per 1,000 population reached 3.
8, and the number of pharmacists per 1,000 population reached 0.
54, ensuring that by the end of the "14th Five-Year Plan" the development indicators of public hospitals in our province will reach or exceed the national average, common and frequently-occurring counties The internal consultation rate has reached 90%, continuously meeting the people's growing demand for multi-level and diversified health services
.
2.
Coordinate and optimize the resource distribution of public hospitals (1) Reasonably distribute medical and health resources
.
Scientifically plan the functional layout of public hospitals in provinces, cities, and counties, and increase support in policies, talents, funds, etc.
, to form a development pattern with distinctive characteristics, complementary specialties, misaligned development, and orderly competition
.
Give full play to the technical advantages, scientific research advantages, talent advantages, discipline advantages, and management advantages of provincial public hospitals to create high-level and high-level clinical specialties in the province
.
In municipal areas, 1 to 2 municipal tertiary general hospitals (including Chinese medicine hospitals) will be set up for every 1 to 2 million population
.
In the county-level area, in principle, one county-run general hospital and one county-run TCM hospital will be set up
.
Strengthen the capacity building of public hospitals, strengthen the construction of weak specialties according to the diseases with high transfer rate outside the jurisdiction, and effectively improve the prevention and treatment capabilities of tumors, cardiovascular, respiratory, digestive and infectious diseases, and gradually realize common and frequently-occurring diseases in the city, County resolved
.
Strengthen the standardization of public health departments in public hospitals, increase the division of labor and cooperation and business integration with public health institutions, and coordinate the overall planning of integrated and life-cycle medical services such as prevention, treatment, rehabilitation, and health promotion for residents in the jurisdiction
.
(2) Speed ​​up the construction of regional medical centers
.
Leveraging on the coordinated development of Beijing-Tianjin-Hebei, the planning and construction of the Xiong’an New Area and the preparation of the Beijing Winter Olympics, the “Three Major Events” actively strive for the deployment of national high-level hospitals and the capital’s high-quality medical resources in Hebei.
The center supports the first national regional medical centers in Shijiazhuang, Zhangjiakou, and Qinhuangdao
.
Seize the major opportunities for non-capital functional relief of hospitals under the Ministry of Ministries and Commissions in Beijing, and actively strive for other cities divided into districts as the follow-up construction sites of national regional medical centers
.
During the "14th Five-Year Plan" period, it was the first to build provincial-level regional medical centers in Northeast Hebei, Northwest Hebei, Central Hebei, and South Hebei, relying on the Affiliated Hospital of North China University of Technology, the First Affiliated Hospital of Hebei North University, the Affiliated Hospital of Hebei University, and the Affiliated Hospital of Hebei University of Engineering
.
Accelerate the planning and layout, support the construction of a batch of provincial-level regional medical centers in other regions, and build provincial-level "flagship" hospitals in collaboration with traditional Chinese and Western medicine relying on medical institutions with outstanding capabilities in integrating traditional Chinese and Western medicine
.
Focusing on diseases with high mortality and high transfer rate in the province, strengthen the connection with high-level hospitals in Beijing, Tianjin and other places, introduce advanced technology and talent support, improve the diagnosis and treatment capabilities of difficult and severe diseases, and help realize the prevention of serious diseases
.
(3) Promote the expansion of medical consortium standards
.
Promote the standardized development of the medical consortium, improve the operation and management mechanism of the medical consortium, regularly carry out the performance evaluation and benefit evaluation of the medical consortium, and guide the medical consortium to provide residents in the grid with perinatal care, treatment hospitalization, rehabilitation care, and stability Comprehensive health services such as periodical care and tranquility treatment
.
Realize the unified management of people and property, and promote the substantive operation of the close medical consortium
.
Support provincial and municipal Chinese medicine hospitals, maternity and child health hospitals, and children's hospitals to take the lead in forming specialist alliances
.
Strengthen the monitoring of indicators of the medical consortium, actively promote the typical experience and practices of medical consortium construction, and play a leading role in demonstration
.
Promote the contracted service of family doctors with general practitioners as the main body, effective linkage of general medicine specialties, and organic integration of medical and prevention, and be a "gatekeeper" of residents' health
.
Encourage all localities to actively explore retired doctors from public hospitals to provide family doctor contract services at the grassroots level, so that minor illnesses can be resolved at the grassroots level
.
(4) Establish a high-level key clinical specialty
.
Oriented to meet the clinical needs of major diseases, focus on the development of clinical specialties such as severe disease, oncology, cardiovascular and cerebrovascular, pediatrics, neonatology, etc.
, encourage areas with conditions to explore the development of clinical specialties such as mental health, and use the development of specialties to promote the improvement of diagnosis and treatment capabilities
.
Accelerate the construction of three-level quality control centers at the provincial, municipal and county levels, and strengthen regional quality control coordination
.
Strengthen the construction of superior specialties of traditional Chinese medicine, carry out the pilot work of traditional Chinese medicine classic wards, and create a batch of traditional Chinese medicine departments with outstanding characteristics of traditional Chinese medicine, significant clinical effects, and obvious demonstration and leading roles
.
(5) Improve the treatment system for major epidemics
.
Build 3 provincial-level major epidemic treatment bases
.
Each city divided into districts selects 1 or 2 general hospitals to improve the ability to treat infectious diseases in a targeted manner, and upgrade the infrastructure construction and equipment of existing independent infectious disease hospitals; rely on 1 county-level hospital in the county to strengthen infectiousness Disease department and relatively independent infectious disease ward construction
.
Explore the "one hospital, multiple districts" development model, implement integrated operation and homogeneous management, and quickly switch functions when a major epidemic occurs
.
Continue to strengthen the management of nosocomial infection prevention and control, refine the management and control measures for key areas, key positions, and key links, and improve the ability to respond to major epidemics
.
3.
Comprehensively improve the medical service level of public hospitals (1) Promote the innovation of medical service models
.
Focusing on tumors, difficult and complex diseases, and multi-system and multi-organ diseases, promote the outpatient and inpatient multi-disciplinary diagnosis and treatment model, and incorporate Chinese medicine into the multi-disciplinary consultation system
.
Before the end of 2021, each county (city, district) will build at least one rehabilitation medical center
.
Establish and improve the emergency and critical patient treatment system and the pre-hospital in-hospital information sharing network based on the five centers of chest pain, stroke, trauma, critical maternal treatment, critically ill children and neonatal treatment, and provide integrated comprehensive treatment services
.
Vigorously promote the construction of the pre-hospital emergency network, and all localities must complete the planning of the establishment of pre-hospital emergency medical stations in their administrative areas by the end of 2021
.
Carry out day surgery and increase the proportion of day surgery in elective surgery
.
Encourage public hospitals to set up rational drug use consultation or drug treatment management outpatient clinics
.
Explore the implementation of an inter-hospital consultation system for clinical pharmacists
.
(2) Promote technological innovation in the medical field
.
Relying on the province's existing universities, scientific research institutes and public hospitals, focus on difficult and miscellaneous diseases and promote medical technology innovation
.
Accelerate the transfer and transformation of scientific and technological achievements, reward the completion of job-related scientific and technological achievements and other personnel who have made important contributions to the transformation of achievements, and transfer the technological achievements of job-related scientific and technological achievements by means of technology transfer or licensing, shall be extracted from the net income obtained from technology transfer or licensing No less than 50% shall be used for rewards; for the conversion of investment in scientific and technological achievements, no less than 50% shall be used for rewards from the shares or capital contributions obtained from the investment; in research and development and transformation of scientific and technological achievements The share of rewards for those who have made major contributions to it shall not be less than 50% of the total rewards
.
Accelerate the construction of Hebei Provincial Hospital of Traditional Chinese Medicine National TCM Clinical Research Base and Provincial TCM Evidence-based Medicine Center
.
(3) Promote innovation in health service methods
.
Promote the in-depth integration of new-generation information technologies such as fifth-generation mobile communications (5G) with medical services
.
Explore the clinical application of IoT technologies such as wearable devices and large-scale medical equipment to provide patients with personalized and intelligent services
.
Promote the construction of smart hospitals and hospital information standardization with the “trinity” of electronic medical records, smart services, and smart management
.
By the end of 2021, all three-level public hospitals' electronic medical records application function level will reach level 4
.
Speed ​​up the construction of Internet hospitals and provide patients with medical services such as online follow-up visits, medication guidance, follow-up, and drug delivery
.
By the end of 2021, each city divided into districts will build at least two Internet hospitals and provide effective services, and 80% of the counties (cities, districts) in the province will achieve telemedicine network coverage
.
(4) Promote the inheritance and innovation of traditional Chinese medicine
.
Improve the TCM medical service network, and basically achieve full coverage of county-run TCM medical institutions by 2022
.
To improve and strengthen specialties, carry out provincial-level clinical collaboration pilots of Chinese and Western medicine for 5 to 10 major and difficult diseases, and improve the diagnosis and treatment capabilities of Chinese medicine for acute and critical diseases and difficult and complex diseases
.
To strengthen the coordination of Chinese and Western medicine, tertiary general hospitals should set up TCM clinical departments, set up TCM clinics and TCM beds, set up TCM wards and TCM comprehensive treatment areas where conditions permit, and encourage and support secondary public general hospitals to set up TCM clinical departments
.
Organize the training of high-level talents for "Western medicine learning Chinese medicine"
.
Improve the cooperative epidemic prevention and control mechanism of Chinese and Western medicine
.
Relying on Hebei Provincial Hospital of Traditional Chinese Medicine to build a national TCM epidemic prevention and control base, to build a high-level TCM epidemic prevention and control team and emergency medical rescue team
.
4.
Effectively strengthen the operation and management of public hospitals (1) Promote the quality and efficiency of hospital management
.
Implement operational management autonomy in public hospitals such as internal personnel management, middle-level cadre appointment, personnel recruitment and talent introduction, internal performance appraisal and distribution
.
Promote the professional construction of public hospital deans and implement a tenure target responsibility system
.
Encourage the implementation of an annual salary system for party committee secretaries, deans, and chief accountants, and the annual salary shall be fully borne by the finances at the same level
.
Tertiary public hospitals and qualified hospitals implement the chief accountant system, encourage public hospitals to hire legal consultants, and guide and improve the efficiency of core business supply and the level of legal protection
.
Strengthen the monitoring and evaluation of key management links in public hospitals such as human resources, facilities and equipment, assets, budgets, cost control, and risk prevention and control
.
Establish a positive incentive and reversal mechanism to deal with major safety accidents or hospital infection problems during management in accordance with relevant regulations in the hospital grade review and medical reform assessment
.
(2) Improve hospital operation efficiency
.
Integrate medical, teaching, scientific research and other business systems and human, financial, and material resource systems, establish a hospital operation management decision support system, and promote the scientific, standardized, and refined hospital operation management
.
Strengthen overall budget management, implement full-caliber, full-process, full-staff, and full-scale management, run through all links of budget preparation, approval, execution, monitoring, adjustment, final accounts, analysis, and assessment, strengthen budget constraints, and strengthen capital budget implementation monitoring Analyze, implement "dual monitoring" on the performance level and budget implementation progress, link the evaluation results, project implementation progress and budget arrangements
.
Improve the internal control system, and carry out risk assessment and internal control evaluation, focusing on major risks, major events, and important processes in business management and economic management
.
Strengthen the process management of the key links of cost consumption and reduce the energy consumption expenditure of 10,000 yuan of income.
By the end of 2022, the energy consumption of 10,000 yuan of income of the tertiary public hospitals in the province will be reduced to the national median value of the year
.
(3) Strengthen the performance appraisal of hospitals
.
Adhere to and strengthen the public welfare orientation, and comprehensively organize and carry out the performance appraisal of secondary and tertiary public hospitals
.
Continue to strengthen the medical reform assessment of public hospitals, and optimize the index system based on the key tasks of deepening the reform of the medical and health system
.
Pay attention to strengthening the application of assessment results, linking assessment results with public hospitals (medical consortium) financial subsidy funds, medical insurance funds allocation, total performance salary verification, hospital grade review, leadership evaluation, etc. .
5.
Coordinately improve the governance efficiency of public hospitals (1) Establish a dynamic adjustment mechanism for medical service prices
.
Make overall plans and take into account the needs of medical development and the affordability of all parties, establish a sensitive and orderly price dynamic adjustment mechanism, and conduct regular price adjustment assessments.
If the starting conditions are met, the prices of medical services must be adjusted in a steady and orderly manner, and the price comparison relationship must be straightened out
.
Support public hospitals in optimizing their income structure, and gradually increase the proportion of medical service income (excluding medicines, consumables, inspections, and laboratory tests) in medical income.
By the end of 2022, the proportion of medical service income in tertiary public hospitals in medical income will reach the national average for that year Place value
.
Speed ​​up the review of new medical service price items
.
(2) Reform the payment method of medical insurance
.
The close medical consortium that implements unified management of human, financial and material will be paid in total, and supervision and assessment will be strengthened, and the surplus will be retained for reasonable over-expenditure sharing
.
Promote a diversified and compound medical insurance payment method based on disease-based payment, and carry out pilot projects for payment by disease diagnosis-related grouping (DRG), regional point method total budget, and disease-based point value (DIP) payment
.
Explore pay per bed per day, pay per head for outpatient services, and scientifically formulate payment standards
.
Improve medical insurance payment policies for day surgery
.
Regularly carry out centralized procurement of drugs and medical consumables, and strictly implement the policy of retention of medical insurance funds.
60% to 70% of the remaining funds are used for medical staff salary payment, and 30% to 40% is used for the development of medical institutions
.
(3) Deepen the reform of the personnel remuneration system
.
Reasonably formulate and implement staffing standards for public hospitals, and establish a dynamic increase mechanism
.
Increase the number of nurses and gradually bring the overall medical-care ratio in public hospitals to around 1:2
.
Improve the post management system, scientifically compile post responsibility letters, implement competitive employment, post-employment, and contract management
.
Implementing the requirements of "Two Permits", public hospitals reasonably determine and dynamically adjust the salary level of public hospitals on the premise of ensuring the normal operation of the unit and the sustainable development of the business, independently declare the total performance salary, and gradually increase the personnel expenditure in the public hospital business expenditure And gradually increase the proportion of fixed salary
.
Appropriately increase the salary level of junior doctors, and implement the same institution, classmate qualifications, same title, and same salary in Chinese and Western medicine
.
By the end of 2022, the proportion of personnel expenditures in tertiary public hospitals to business expenditures will reach the national median value of the year
.
(4) Improve the evaluation mechanism of medical talent training
.
Improve the mechanism for attracting and cultivating talents in public hospitals, speed up the cultivation of high-level compound medical talents, and build a group of provincial-level outstanding professional and technical talents, leaders and innovative teams
.
Every year, 30 to 50 key doctors are selected from the top three hospitals or key disciplines at the provincial and municipal levels for further training
.
Continue to carry out multi-level traditional Chinese medicine experts' academic experience inheritance, outstanding Chinese medicine clinical talents research and inheritance studio construction projects
.
Encourage famous old Chinese medicine experts to participate in the standardized training of students and Chinese medicine residents
.
Reform and improve the talent evaluation mechanism, adhere to hierarchical and classified evaluation, highlight the performance orientation of moral ability, increase the number of clinical work and quality indicators, and dilute the number of papers
.
6.
Focus on building the service quality of public hospitals (1) Building a distinctive hospital culture
.
Excavate and sort out the hospital's history, cultural characteristics, and the academic thoughts and noble medical ethics of famous doctors, refine the hospital training, vision, and mission, and gather spiritual strength
.
Vigorously promote the anti-epidemic spirit and lofty professionalism, and enhance the professional sense of honor of medical staff
.
Promote the construction of spiritual civilization in hospitals, carry out education on socialist core values, and promote the formation of good medical ethics
.
(2) Improve the medical experience of the masses
.
Implement actions to improve medical services, implement services such as time-based appointments for diagnosis and treatment, mutual recognition of inspection and examination results, Internet follow-up visits, prescriptions for chronic diseases, etc.
, and carry out diversified services such as in-office settlement and bedside settlement
.
In response to the actual needs of the elderly, children, and the disabled, on the basis of implementing non-emergency appointments for diagnosis and treatment, reasonable retention of manual service windows such as registration, payment, and printing of inspection results
.
Support public hospitals to carry out special-needed services, and control the proportion of special-needed services within 10%
.
(3) Correct unhealthy trends in the field of pharmaceutical purchase and sales
.
Establish and improve the management system of conduct, and formulate relevant management regulations for the clean practice of medical staff
.
Maintain the high pressure of cracking down on kickbacks, carry out special investigations and inspections, and deal with them strictly in accordance with laws and regulations once verified
.
Improve the return visit system, unblock the reporting channels, strengthen clue investigation and handling, and continue to rectify the behaviors of adding items during the operation and treating minor illnesses
.
Intensify the special management of medical insurance funds to combat fraud and insurance fraud
.
(4) Build a harmonious doctor-patient relationship
.
Adhere to the faith of a pure doctor, respect the laws of medical science, observe medical ethics, and follow the technical specifications of clinical diagnosis and treatment
.
Strengthen patient privacy protection and respect patients' right of informed consent
.
Accelerate the promulgation of the "Regulations on the Prevention and Treatment of Medical Disputes in Hebei Province", promote the participation of public hospitals in medical liability insurance, and continue to strengthen the construction of safe hospitals
.
7.
Persist in and strengthen the party's overall leadership of public hospitals (1) Strengthen the construction of the leadership team and cadres of public hospitals
.
Fully implement and implement the dean responsibility system under the leadership of the party committee, and select and assign a strong party and government leadership team
.
The party committee secretary and the dean are set up separately.
The party committee secretary generally does not concurrently hold the administrative leadership position.
The dean is a member of the Communist Party of China and serves as the deputy secretary of the party committee
.
Implement the “dual leader” cultivation project for the party branch secretaries of the hospital’s clinical and medical technical departments, and establish a sound “dual training” mechanism for cultivating business backbones into party members and party members into business backbones
.
(2) Implementing the responsibilities of party building in public hospitals
.
Establish and improve the unified leadership of party committees at all levels, organizational departments to take the lead, the health department to be specifically responsible, education, state-owned assets supervision and other departments to jointly manage, level by level, level by level, and implementation of the responsibility system and work pattern
.
The party committee of public hospitals assumes the main responsibility for party building work, the party committee secretary is the first person responsible for party building work, and other party members of the leadership team implement "one post with two responsibilities"
.
Promote the standardized and standardized construction of party branches, and party organizations comprehensively cover all internal institutions and affiliated units of the hospital
.
Fully carry out public hospital party organization secretaries to grasp the basic-level party building work review and assessment, and incorporate the effectiveness of party building work into the content of hospital grade evaluation, performance assessment, and inspections, as an important basis for annual assessment and cadre selection and appointment
.
8.
Organization and Implementation (1) Implement work responsibilities
.
All localities should promote the high-quality development of public hospitals as a key task in deepening the reform of the medical and health system, strengthen leadership responsibilities, guarantee responsibilities, management responsibilities, and supervision responsibilities, and coordinate the promotion of high-quality development of public hospitals and the reform of systems and mechanisms
.
Cooperate closely with the national unified deployment of the pilot work, and at the same time formulate an annual promotion plan in accordance with the principles of soundness, order, and point-to-point integration.
From 2021 to 2022, select two facilities with a strong sense of reform, sufficient innovation capabilities, large room for improvement, and good driving effect.
District cities and some of their public hospitals are used as reform pilots to formulate pilot programs and evaluation methods in our province, strengthen evaluation and demonstration, and form practical, extendable, reproducible, and sustainable experiences and models as soon as possible
.
It will be fully rolled out in 2023, and the high-quality development of public hospitals in the province will reach the expected goal of the "14th Five-Year Plan" in 2025
.
(2) Implement input responsibilities
.
Implement the government's six investment policies for public hospitals that conform to the regional health planning, and implement the investment preference policies for Chinese medicine hospitals, infectious disease hospitals, psychiatric hospitals, children's hospitals, and maternity and child care hospitals
.
On the premise of ensuring that risks are controllable, local government bond policies should be fully utilized, with a focus on supporting the construction of public welfare projects in the medical and health field, and ensuring the sound development of public hospitals
.
(3) Strengthen supervision and assessment
.
According to the evaluation index system formulated by the state, all localities evaluate the high-quality development of public hospitals in their administrative regions in accordance with the principle of territoriality
.
The medical reform offices at all levels should strengthen coordination and supervision of the progress of reforms, actively learn from the advanced experience of pilot provinces, explore more original and differentiated reforms, strengthen reform operation monitoring, and report reform progress in a timely manner
.
Attachment: 1.
The division of key tasks for promoting the high-quality development of public hospitals 2.
The high-quality development planning and construction plan for public hospitals in Hebei Province, the General Office of the People's Government of Hebei Province September 20, 2021 (this document is publicly released) "The General Office of the People's Government of Hebei Province" The Implementation Opinions on Promoting the High-quality Development of Public Hospitals is interpreted as the implementation of the Opinions of the General Office of the State Council on Promoting the High-quality Development of Public Hospitals (Guobanfa [2021] No.
18, hereinafter referred to as the "Opinions"), September 2021 On the 20th, the General Office of the Provincial Government issued the "Implementation Opinions on Promoting the High-quality Development of Public Hospitals" (Jizhengban Zi [2021] No.
124, hereinafter referred to as the "Implementation Opinions")
.
1.
The background of the introduction Promoting the high-quality development of public hospitals and improving the quality of health and health supply and service are the theme of the "14th Five-Year Plan" and even longer period of the Party Central Committee and the State Council to deepen the reform of the medical and health system, and it is related to the sense of gain and happiness of the people.
Sense and security
.
On February 19, 2021, the 18th meeting of the Central Committee for Comprehensive Deepening of Reform deliberated and approved the "Opinions", which was issued and implemented by the General Office of the State Council on May 17
.
The "Opinions" clarify the goals, directions, and measures for the high-quality development of public hospitals, which are the fundamental principles for the reform and development of public hospitals in the new stage
.
In accordance with the deployment of the Provincial Party Committee and the Provincial Government and the requirements of the provincial leaders, the Provincial Health Committee and relevant departments of the province have studied and drafted the "Implementation Opinions.
" After deliberating at the second meeting and agreeing to the provincial government, it will be issued and implemented in the name of the provincial government office
.
2.
Main Contents The "Implementation Opinions" mainly consist of three parts, with two attachments including the division of key tasks and the high-quality development plan and construction plan of public hospitals
.
The first part is the overall requirements
.
Clarified the guiding ideology and overall goal of promoting the high-quality development of public hospitals in our province
.
Adhere to people's health as the center, adhere to government-led, charity-led, and public hospital-led, adhere to the integration of medical and prevention, integration of emergency and emergency, and equal emphasis on Chinese and Western medicine, focusing on modernization of capabilities, model integration, service human culture, management information, and accelerating quality Expansion of medical resources and a balanced distribution of regions, strengthen system innovation, technological innovation, model innovation, and management innovation, and promote the development of public hospitals from scale expansion to improved quality and efficiency, operation mode from extensive management to fine management, and resource allocation from focusing on material The factor shift pays more attention to talents and technical factors
.
The second part is the key task
.
Including 25 specific tasks in 6 areas
.
One is to coordinate and optimize the resource layout of public hospitals
.
Scientifically plan the functional layout of public hospitals in provinces, cities, and counties, and increase support for policies, talents, and funds
.
Take advantage of the "three major events" to speed up the construction of national medical centers and regional medical centers
.
Promote the upgrading and expansion of the medical consortium, and guide the medical consortium to provide residents in the grid with perinatal health care, treatment hospitalization, rehabilitation care, stable care, and tranquility treatment
.
Oriented to meet the clinical needs of major diseases, focus on the development of clinical specialties such as critical illness, tumor, and cardiovascular and cerebrovascular diseases
.
Establish and improve a major epidemic treatment system with hierarchical, stratified and diversion
.
The second is to comprehensively improve the level of medical services in public hospitals
.
Promote service models such as multi-disciplinary diagnosis and treatment, day surgery, and responsible holistic nursing
.
Relying on the province's existing universities, scientific research institutes and public hospitals, focus on difficult and miscellaneous diseases and promote medical technology innovation
.
Promote the in-depth integration of a new generation of information technology and medical services, vigorously develop telemedicine and Internet diagnosis and treatment, and build smart hospitals
.
Promote the inheritance, innovation and development of Chinese medicine, and strengthen the collaboration between Chinese and Western medicine
.
The third is to effectively strengthen the operation and management of public hospitals
.
Implement the autonomy of operation and management of public hospitals, and promote the quality and efficiency of hospital management
.
Strengthen the overall budget management, improve the internal control system, and improve the efficiency of hospital operations
.
Adhere to and strengthen the public welfare orientation, strengthen the performance appraisal of hospitals, and pay attention to the application of appraisal results
.
The fourth is to coordinately improve the governance efficiency of public hospitals
.
Establish a sensitive and orderly dynamic price adjustment mechanism for medical services to increase the proportion of medical service revenue (excluding revenue from medicines, consumables, inspections, and laboratory tests) in medical revenue
.
Deepen the reform of the medical insurance payment method, implement total payment for the close medical consortium that implements unified management of human, financial and material, strengthen supervision and evaluation, retain the balance, and share the reasonable excess expenditure
.
Reasonably formulate and implement staffing standards for public hospitals, and establish a dynamic increase mechanism
.
Under the premise of ensuring the normal operation of the unit and the sustainable development of the business, public hospitals reasonably determine and dynamically adjust the salary level of public hospitals, independently declare the total performance salary, gradually increase the proportion of personnel expenditures in public hospitals’ business expenditures, and gradually increase the proportion of fixed salaries.
Than
.
Improve the talent introduction and education mechanism of public hospitals, and reform and improve the talent evaluation mechanism
.
Fifth, strive to build the service quality of public hospitals
.
Vigorously promote the great anti-epidemic spirit and lofty professionalism, and promote the construction of spiritual civilization in the hospital
.
Implement actions to improve medical services and strengthen patient demand orientation
.
Establish and improve the management system of business >
.
Strengthen patient privacy protection, continue to strengthen the construction of safe hospitals, and build a harmonious doctor-patient relationship
.
Sixth, uphold and strengthen the party's overall leadership over public hospitals
.
Fully implement and implement the dean responsibility system under the leadership of the party committee, and select and assign a strong party and government leadership team
.
Strengthen the construction of the leadership team and cadre talent team of public hospitals, and implement the responsibilities of party building in public hospitals
.
The third part, organization and implementation
.
The first is to implement work responsibilities and take the high-quality development of public hospitals as a key task for deepening the medical reform
.
The second is to implement investment responsibilities, implement the government's six investment and investment preference policies, and ensure the sound development of public hospitals
.
The third is to strengthen supervision and assessment, strengthen the evaluation and monitoring of the high-quality development of public hospitals, and report progress in a timely manner
.
3.
Significance of the release The "Implementation Opinions" focus on General Secretary Xi Jinping's important expositions on the high-quality development of public hospitals, adhere to problem-oriented and goal-oriented, which is conducive to the continuous deepening of public hospital reforms, optimizing the allocation of resources, complementing shortcomings, and improving operational efficiency , To provide institutional basis for the establishment of a public hospital service system with Hebei characteristics that meets the requirements of the new era
.
It is of great significance to solve the problem of people seeking medical treatment and comprehensively promote the construction of healthy Hebei .