High-quality development evaluation indicators of public hospitals released: Party committee leaders, DRG, Chinese herbal medicine...

Public hospitals are the main body of the medical service industry, and promoting high-quality development is an inevitable requirement
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Since 2020, while fighting against the new crown pneumonia epidemic, a series of policy documents on the development of public hospitals have been issued intensively
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In June 2021, the "Opinions on Promoting the High-Quality Development of Public Hospitals" was released, and now the specific evaluation indicators are also officially released, with a total of eight items involving 27 secondary indicators
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On February 9, the System Reform Department of the National Health and Medical Commission issued the "Notice of the Secretariat of the State Council's Leading Group for Medical Reform on Implementing the Opinions on Promoting the High-quality Development of Public Hospitals".
Let's take a look at several evaluation indicators worthy of attention
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The notice from the leadership of the firm party committee and government pointed out that to strengthen organizational leadership, the main responsible comrades of the party committee and the government (double group leaders) or one of the main responsible comrades will be the leader of the medical reform leading group, and the dean under the leadership of the party committee will be responsible for the full implementation and implementation.
system
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This indicator was also mentioned in the "Notice on the Implementation of the Implementation Opinions on Promoting the Experience of Sanming City, Fujian Province and Deepening the Reform of the Medical and Health System" by the Secretariat of the State Council Medical Reform Leading Group on December 29, 2021
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This also shows the government's top-to-bottom determination to reform public hospitals and promote high-quality development
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Under the background of diverse and complex stakeholders in China's health field and lack of consultation between government departments, the party committee and the government are the main bodies of governance, and the government governance mechanism plays a leading role at the macro-decision level
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The establishment of a cross-departmental governance mechanism within the government is an important reason for the initiation and continuous deepening of the Sanming reform, which is also the policy experience of the Sanming medical reform model with great promotion value
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Therefore, the design of relevant indicators must also take this aspect into consideration
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The utilization rate of TCM decoction pieces in tertiary public TCM hospitals will increase year by year.
The notice also proposes two indicators on the utilization rate of TCM decoction pieces and DRG/DIP..
Among them, the usage rate of TCM decoction pieces for outpatients and discharged patients in tertiary public TCM hospitals: the number of outpatients applying TCM decoction pieces / the total number of outpatient visits × 100%; the number of discharged patients applying TCM decoction pieces / the total number of discharged patients × 100 %
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The "Circular of the Office of the State Administration of Traditional Chinese Medicine on the National Monitoring and Analysis of the Performance Evaluation of National Tertiary Public Chinese Medicine Hospitals in 2019" shows that the use of traditional Chinese medicine techniques and methods in tertiary public Chinese medicine hospitals is more active, and the proportion of outpatient Chinese medicine prescriptions in 2019 is 60.
71 %, an increase of 0.
22% compared with 2018, the proportion of outpatient bulk Chinese medicine decoction pieces and small package Chinese medicine decoction pieces prescription ratio was 22.
16%, an increase of 0.
26% compared with 2018, the usage rate of outpatient Chinese medicine decoction pieces was 31.
43%, an increase of 1.
1% compared with 2018, the use of outpatient Chinese medicine pieces was 31.
43%.
The proportion of traditional Chinese medicine non-drug therapy was 14.
71%, an increase of 0.
5% compared with 2018, the utilization rate of Chinese herbal decoction pieces in discharged patients was 62.
14%, an increase of 2.
66% compared with 2018, and the proportion of discharged patients using traditional Chinese medicine non-drug therapy was 73.
41%, an increase of 8.
99% compared with 2018.
The proportion of discharged patients treated by traditional Chinese medicine was 18.
92%, an increase of 1.
77% compared with 2018
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Among them, the number of hospitals with the proportion of outpatient TCM prescriptions up to the standard increased by 9 compared with 2018, the number of hospitals with the proportion of TCM decoction pieces used by discharged patients up to the standard increased by 17 compared with 2018, and the number of hospitals with the proportion of outpatient patients using TCM non-drug therapy up to the standard increased by 56 compared with 2018
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And this data will also increase year by year with the requirements for monitoring indicators of public hospitals
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The ratio of payment by disease to 70% will be the ultimate goal.
Another indicator: the number of inpatient insured persons who pay by disease (DRG, DIP, single disease) to the total number of inpatient insured people in public hospitals = by disease Paid (DRG, DIP, number of insured inpatients for a single disease/total number of insured inpatients × 100%
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Earlier, the "14th Five-Year Plan" National Medical Security Plan issued by the General Office of the State Council also made it clear that during the "14th Five-Year Plan" period, efforts will be made to promote the reform of payment methods, and it is clear that grouping according to disease diagnosis and hospitalization according to disease types will be implemented.
Expenses account for 70% of all hospitalization expenses, focusing on changing the profit-seeking nature of public hospitals and solving the current serious problems of hospitalization for mild illnesses and serious treatment for minor illnesses
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Although the evaluation indicators released this time only put forward: gradually increase to a reasonable level, this is only the requirement at this stage.
According to the "14th Five-Year Plan", gradually reaching 70% is the ultimate goal
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Do not engage in one-size-fits-all, do not engage in repeated evaluations
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In addition, the notice also proposes four evaluation methods: The Secretariat of the Leading Group for Medical Reform of the State Council formulated the “Evaluation Indicators for Promoting the High-quality Development of Public Hospitals in Provinces (Autonomous Regions and Cities) (Trial)”, and each province (autonomous region and municipality) Promote the evaluation of the high-quality development of public hospitals
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Relevant evaluation indicators are dynamically adjusted in a timely manner according to the progress of the work
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Each provincial-level medical reform leading coordination agency conducts an annual evaluation of the promotion of high-quality development of public hospitals in various cities, and can appropriately adjust the evaluation indicators in light of the actual situation of the province (region, city); Self-assessment of high-quality development
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The leading coordinating agencies for medical reform at the municipal level in each region conduct an annual evaluation on the promotion of high-quality development of public hospitals in each county (city, district).
With the approval of the leading coordinating agency for medical reform at the provincial level, the evaluation indicators can be appropriately adjusted in light of the actual situation of the city
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The provincial medical reform leading coordination agencies evaluate the public hospitals within their jurisdictions every year, which is organically combined with the performance evaluation of the comprehensive reform of public hospitals and the performance assessment of public hospitals.
Do not engage in repeated evaluations
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The "Notice" also puts forward work requirements for standardizing data collection.
The data related to the evaluation indicators are directly captured from the existing information systems such as the medical reform monitoring system, the health statistics yearbook, the health and health financial annual report, the performance evaluation of public hospitals, and the satisfaction survey.
Increase the burden on the grassroots, and shall not increase the workload of the hospital to fill in the forms
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