How to Promote the High-quality Development of Public Hospitals Jilin Province Issues Implementation Opinions

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。(2) Strengthen the construction of public hospitals in prefectures and cities
.
Through the construction of medical consortium and the hierarchical diagnosis and treatment system, combined with the construction of regional medical centers, we will promote the overall improvement of the service capacity of public hospitals in prefectures and cities, and strive to realize that each prefecture and city has a tertiary hospital
.
Taking the urban area as the planning unit, the service area is divided into several grids according to the distribution of medical resources, and the formation of the tertiary public hospitals in the jurisdiction or the hospitals representing the medical level of the jurisdiction (including social hospitals and traditional Chinese medicine hospitals) takes the lead, and other hospitals , The urban medical group with primary medical and health institutions and public health institutions as its members, coordinate the provision of integrated and continuous medical services such as prevention, treatment, rehabilitation, and health promotion for residents in the grid
.
In combination with actual conditions, hospitals have established advantageous professional specialties, forming a development pattern featuring distinctive characteristics, complementary specialties, dislocation development, and orderly competition, which will drive grassroots medical and health institutions to improve their service capabilities and management levels
.
Strive to establish a three-level Chinese medicine medical institution in each prefecture and city
.
Strengthen the standardization of public health departments in public hospitals, and improve public health service capabilities
.
(3) Strengthen the construction of primary medical institutions
.
Strengthen the capacity building of county-level hospitals (including Chinese medicine hospitals), upgrade core specialties, consolidate supporting specialties, create superior specialties, and improve the prevention and treatment capabilities of tumors, cardiovascular, cerebrovascular, respiratory, digestive and infectious diseases, and the county-level consultation rate has reached more than 90%
.
Strengthen the counterpart assistance of the city's tertiary hospitals to the county-level hospitals.
The county-level public hospitals will gradually reach the second-class A, and the compact county medical community will gradually cover more than 50% of the county-level public hospitals in the province
.
In accordance with the principles of county-town integration and rural integration, strengthen the overall management of county-level hospitals to township health centers and village clinics, give full play to the technical support role of county-level hospital medical staff for family doctors, and enhance residents’ health "gatekeeper" capabilities
.
Strengthen the division of labor and business integration between county-level hospitals and disease prevention and control institutions, health supervision institutions, maternal and child health institutions, and community health service centers, and implement public health services
.
Support traditional Chinese medicine hospitals to take the lead in forming a county medical community
.
Achieve full coverage of county-run TCM hospitals, and the construction rate of TCM clinics in township health centers and community health service centers will reach 100%, forming a three-level TCM service network in counties and villages
.
(4) Establish a major epidemic treatment system that integrates medical and prevention
.
On the basis of existing resources, accelerate the construction of provincial-level regional medical centers for infectious diseases, trauma, and major public health incidents
.
Support multi-campus public hospitals to focus on strengthening the capacity building of epidemic treatment in hospitals other than the main hospital area, so that they can quickly realize functional conversion when a major epidemic occurs
.
Each prefecture and city chooses a general hospital to improve the ability to treat infectious diseases in a targeted manner, improve the infrastructure and upgrade equipment of the existing independent infectious disease hospitals, and each prefecture and city has an infectious disease hospital
.
Relying on a county-level public hospital within the county, strengthen the construction of infectious disease departments and relatively independent infectious disease areas
.
Strengthen the standardization of public health departments in public hospitals, and improve public health service capabilities
.
Public health institutions and medical institutions shall establish a sound cooperation mechanism featuring division of labor, cooperation, complementary advantages, and business integration
.
Give full play to the unique role of Chinese medicine in the prevention, control and treatment of major epidemics, and build a high-level Chinese medicine epidemic prevention and control team
.
Give full play to the role of military hospitals in the prevention, control and treatment of major epidemics and national biological security defenses
.
Continue to strengthen the management of nosocomial infection prevention and control, and improve the ability to respond to major epidemics
.
 　　3.
Improve medical service capabilities 　　 (1) Strengthen the construction of key clinical specialties
.
Relying on provincial-level regional medical centers, we will cultivate a group of domestic first-class specialists in medical technology, medical quality, and clinical research
.
Oriented to meet the clinical needs of major diseases, build a provincial-level key clinical specialist group based on the superior specialist resources of medical institutions in the province
.
Develop clinical specialties such as critical illness, tumor, cardiovascular and cerebrovascular, respiratory, digestion, infection, pediatrics, anesthesia, imaging, pathology, laboratory, geriatrics, etc.
, and promote the improvement of diagnosis and treatment capabilities and levels with the development of specialties.
Difficult surgery and diagnosis and treatment of difficult and complex diseases provide high-tech support
.
A batch of key clinical specialties at the city and county level have been built, and the level of homogeneity of regional specialised medical services has been significantly improved
.
Increase support for TCM hospitals, and strengthen the construction of superior TCM specialties such as acupuncture, massage, cardiovascular and cerebrovascular diseases, and peripheral vascular diseases
.
 　　 (2) Strengthen medical quality management
.
Implement the core system of medical quality and safety, standardize medical service behaviors, promote medical service procedures, prioritize quality and safety as the medical service orientation, and continuously improve the medical experience of the masses
.
Promote medical institutions to establish a three-level network of medical quality management, and form the interaction and linkage between the quality management committee, functional management departments and business departments
.
Taking performance appraisal as the starting point, benchmarking the performance appraisal system, systematically combing and analyzing medical quality control elements, comprehensively evaluating medical quality management, and promoting the establishment of a good medical quality management and improvement system in hospitals, focusing on safety, quality, service, and management , The five elements of performance, strengthen quality management and improvement
.
Carry out public hospital grade review, and comprehensively improve hospital management level, medical technology level and service quality
.
Strengthen the application of DRG data evaluation tools, strengthen the quality management of the medical record homepage, and establish a quality control and monitoring system for data collection, sharing and business collaboration
.
 　　 (3) Promote scientific research on medical technology
.
Establish a clinical demand-oriented scientific research mechanism, connect with the frontiers of science and technology in the fields of life sciences and biomedicine, focus on emerging major infectious diseases, rare diseases, cardiovascular and cerebrovascular diseases and tumors and other major diseases, strengthen basic and clinical research, and promote original diseases The output of new technologies, new products, new programs and new strategies for prevention, diagnosis and treatment
.
Strengthen the supporting role of scientific research in response to major epidemics and public health emergencies, adhere to the coordination of clinical research and clinical diagnosis and treatment, and scientific research results to serve the frontline clinical clinics
.
Build and improve the scientific and technological innovation platform of Chinese medicine, and support the construction of the national Chinese medicine clinical research base
.
Carry out research on key technologies for the production of Chinese medicinal materials, new Chinese medicines, ethnic medicines, and Chinese medicine health products
.
Accelerate the development of commercial health insurance and promote the introduction of new medical technologies into clinical use
.
 　　 (4) Promote innovation in medical service models
.
Develop a multi-disciplinary diagnosis and treatment model, open multi-disciplinary diagnosis and treatment clinics for tumors, difficult and complex diseases, and multi-system and multi-organ diseases to provide patients with "one-stop" diagnosis and treatment services; implement the national single-disease multi-disciplinary diagnosis and treatment norms and establish single-disease Multidisciplinary case discussion and joint rounds system provide multidisciplinary diagnosis and treatment services for inpatients
.
All tertiary general hospitals and qualified specialist hospitals in the province are required to carry out day surgery, and the proportion of day surgery in the amount of surgery is gradually increasing
.
Carry out time-based appointments for diagnosis and treatment and centralized appointments for inspections, and carry out services such as clinic (bedside) settlement and mutual recognition of inspection and inspection results
.
Implement the overall responsibility system, strengthen basic nursing, and carry out continuous nursing services
.
Set up rational drug use consultation or drug treatment management outpatient clinics, and carry out precise drug use services
.
Vigorously promote the construction of the pre-hospital medical emergency network, innovate the emergency emergency service model, and effectively improve the pre-hospital medical emergency service capacity
.
We will further strengthen the concepts of focusing on prevention, moving the border forward, and integrating prevention and treatment, and establish a new service model that integrates medicine and prevention
.
Promote the comprehensive diagnosis and treatment model of traditional Chinese medicine, the multi-disciplinary integrated diagnosis and treatment model, and the whole chain service model, and implement the pilot clinical collaboration between Chinese and Western medicine for major and difficult diseases
.
 　　 (5) Improve information technology application capabilities
.
Promote the in-depth integration of new-generation information technologies such as cloud computing, big data, Internet of Things, blockchain, and artificial intelligence with medical services
.
Promote the construction of smart hospitals and hospital information standardization with the “trinity” of electronic medical records, smart services, and smart management
.
Vigorously develop telemedicine and Internet diagnosis and treatment
.
Promote the development and application of intelligent medical equipment such as surgical robots and intelligent auxiliary diagnosis and treatment systems
.
Strictly implement the drug traceability system, and explore the interconnection and intercommunication of prescription information in public hospitals and drug retail consumption information using the "Internet + electronic prescription" model
.
 　　4.
Strengthen the operation and management of public hospitals 　　 (1) Innovative operation and management system
.
Leading the high-quality development of public hospitals with new development concepts, effectively improving the supply efficiency of core services such as medical treatment, teaching, scientific research, and prevention, integrating medical, teaching, scientific research and other business systems and human, financial, and material resource systems, and establishing hospital operation management decisions Support the system, promote the scientific, standardized, and refined hospital operation management, improve the efficiency of internal resource allocation and operation management efficiency, and realize the dual control of medical costs and medical quality
.
Establish a standard system for disease combination with big data methods to form quantified treatment standards, drug standards, and consumables standards for disease severity and resource consumption in each disease group, and improve the hospital's case combination index (CMI), cost output, and doctor performance Monitoring and evaluation are carried out to guide the hospital to return to its functional positioning, improve efficiency, save costs, and reduce the burden of patients for medical treatment
.
Strengthen the process management of the key links of cost consumption and reduce the energy consumption expenditure of 10,000 yuan of income
.
 　　 (2) Strengthen comprehensive budget management
.
All economic activities are included in budget management, to enhance public hospitals’ awareness of budget revenue and expenditure management, and to improve the efficiency of budget resource utilization
.
Based on the hospital’s strategic development plan and annual plan goals, implement full-caliber, full-process, full-staff, and full-scale budget management, which runs through budget preparation, approval, execution, monitoring, adjustment, final accounts, analysis, and assessment.
Implement budget performance management in terms of quantity, quality, effectiveness, cost, benefit, etc.
, strengthen budget constraints, and promote the effective allocation and use of resources
.
Incorporate comprehensive budget management into the scope of hospital budget performance appraisal, strengthen performance appraisal orientation, promote the implementation of public welfare, improve the quality of medical services, and promote the sustainable development of hospitals
.
Regularly disclose the relevant financial information of the hospital and actively accept social supervision
.
 　　 (3) Improve the internal control system
.
Adhere to the principle of public welfare, effectively prevent and control the operational risks of economic activities and related business activities, and achieve legal compliance, controllable risks, high-quality, high-efficiency, and sustainable development of hospital operating activities
.
Focus on major risks, major events, and important processes in business management and economic management, carry out risk assessment and internal control evaluation, strengthen internal authorization approval control, budget control, asset control, accounting control, government procurement control, information disclosure control, etc.
, Prevent financial risks, business risks, legal risks and corruption risks, and promote the continuous improvement of public hospital service efficiency and internal governance
.
Strengthen the construction of smart logistics in public hospitals and promote the "one-stop" service for hospital logistics
.
 　　 (4) Improve the performance evaluation mechanism
.
Carry out the performance appraisal of public hospitals in an all-round way, promote the transformation of the development mode and management mode of the secondary and tertiary public hospitals, promote more scientific and fair income distribution, and achieve efficiency improvement and quality improvement
.
Adhere to and strengthen the public welfare orientation, continue to optimize the performance evaluation index system, promote public hospitals to actively strengthen and improve hospital management, and strengthen connotation construction
.
Reform the internal performance appraisal methods of public hospitals, based on the employment contract, focusing on the completion of job responsibilities, and linking the appraisal results with salary distribution
.
 　　 (5) Strengthen supervision of practice behavior
.
Public hospitals should strengthen industry self-discipline, and assume the main responsibility for the organization's law-based practice, standardized services, service quality and safety, and conduct development
.
Improve the management system, improve the working mechanism, strictly abide by the laws and regulations , strengthen the management and assessment of employees, and strengthen the sense of subject responsibility
.
Establish and improve internal management mechanisms such as service quality and safety, human resources, financial assets, and performance appraisal, and consciously accept industry supervision and social supervision
.
Improve the linkage mechanism between comprehensive supervision results and public hospital verification, grade review, medical insurance fixed-point agreement management, key specialty setting, financial investment, evaluation and evaluation, as well as the results of medical and health service supervision of practitioners and the appointment of professional titles, job promotion, and evaluation.
first appraised, performance allocation hook mechanism
.
Strengthen the recording, publicity and early warning of untrustworthy behaviors, and establish and improve the credit mechanism of the medical and health industry
.
 　　5.
Activate the development momentum of public hospitals 　　 (1) Reform the personnel management system
.
Implement the staffing standards for public hospitals of the Central Organization Office, study and formulate the staffing management methods of public hospitals in our province in line with the high-quality development needs of public hospitals in our province, establish a dynamic adjustment mechanism, and optimize the allocation of staffing resources
.
Implement the autonomy of employment in public hospitals, and make overall consideration of the treatment of internal and external personnel in the establishment
.
Implement the job management system, rationally set up positions according to different categories of medicine, nursing, medicine, technology, management, etc.
, scientifically compile job responsibility letters, implement competitive employment and contract management, and encourage talents to stand out
.
Increase the number of nurses, and gradually make the overall medical-care ratio of public hospitals reach around 1:2
.
 　　 (2) Reform the salary distribution system
.
We will comprehensively deepen the reform of the salary system in public hospitals, establish a salary system in public hospitals that adapts to the characteristics of the medical industry in our province, ensure reasonable salaries for medical staff, and further mobilize the enthusiasm of medical staff to serve the masses
.
Implement the requirement of “allowing medical and health institutions to break through the current wage regulation level of public institutions, allowing medical service income to deduct costs and withdrawing various funds as required to be used for personnel rewards”, and ensure the sound operation of medical institutions, affordable basic medical insurance expenditures, and the masses On the basis of not increasing the overall burden and continuously improving the level of medical services, scientifically and reasonably determine and dynamically adjust the salary level of public hospitals, and reasonably determine the proportion of personnel expenditures to public hospitals’ business expenditures
.
Establish a remuneration system that mainly reflects job responsibilities and knowledge value, and implement job-based responsibilities, job-based wages, appropriate responsibilities and salaries, and assessments
.
To gather high-level personnel, the heavy task of public interest objectives, undertake research and teaching tasks and public hospitals need to focus on the development of performance evaluation or excellent results, as well as in medicine outstanding characteristics and advantages of Chinese medicine hospital , be appropriate tilt
.
Implement the autonomy of the internal distribution of public hospitals.
Public hospitals can adopt a variety of methods to allocate independently within the total approved salary
.
We can continue to improve the job performance wage system, and we can also independently determine other more effective distribution models based on the actual situation of the unit
.
Hospitals can independently set up remuneration projects that reflect the characteristics of the medical industry, labor characteristics and job value, give full play to the guarantee and incentives of various projects, and pay more attention to the guarantee function of the remuneration system
.
Appropriately increase the salary level of junior doctors, and make overall consideration of the remuneration package of internal and external staff
.
Encourage the implementation of an annual salary system for the main persons in charge
.
 　　 (3) Improve the evaluation system for the training of medical personnel
.
Strengthen the cultivation of clinical skills and medical ethics of medical students, strengthen early clinical, multi-clinical, and repeated clinical practice for medical students, so that medical students can be exposed to clinical practice as soon as possible, and cultivate a sense of professional identity
.
Implement standardized training for residents, standardized training for specialist doctors, and continuing medical education systems
.
Strengthen the education of teachers and students in Chinese medicine , and strengthen the learning model of early follow-up with teachers and early clinical learning
.
Accelerate the cultivation of high-level compound medical talents, and cultivate a group of international-level strategic talents, leading talents and innovative teams
.
Strengthen the training and training of nurses in the elderly, pediatrics, critically ill, infectious diseases and other nursing professionals who are in short supply, promote the scientific management of nursing posts, and improve the level of nursing service
.
Reform and improve the talent evaluation mechanism, adhere to hierarchical and categorized evaluation, reasonably set evaluation standards, highlight the performance orientation of moral ability, increase the number and quality of clinical work, explore the implementation of a representative work system, and dilute the number of papers
.
Implement the spirit of the relevant policies for delegating the authority of professional title review, and explore pilot projects in tertiary public hospitals with reasonable job settings, complete personnel management, and willingness to conduct independent reviews to independently conduct senior professional title reviews
.
 　　 (4) Deepen the reform of medical service prices
.
Steadily and orderly pilot exploration of price optimization of medical services
.
Establish and improve a medical service price formation mechanism that adapts to economic and social development, makes better use of the role of the government, fully participates in medical institutions, and reflects the value of technical labor services
.
Make overall plans and take into account the needs of medical development and the affordability of all parties, and regulate the overall level of medical service prices
.
Establish a sensitive and orderly price dynamic adjustment mechanism, carry out regular price adjustment evaluations, and adjust the price of medical services in a stable and orderly manner if the conditions for starting are met, straighten out the relationship between prices, support public hospitals to optimize the income structure, and increase the income of medical services (excluding medicines and consumables) , Inspection and laboratory testing income) as a percentage of medical income
.
Speed ​​up the review of new medical service price items
.
 　　 (5) Deepen the reform of medical insurance payment methods
.
Promote a diversified compound medical insurance payment method based on disease-based payment, carry out national pilots of payment by disease diagnosis-related groupings, carry out pilots of regional point-based total budget and disease-based scores, and explore bed-based payment and outpatient payment per head Pay
.
Explore the implementation of a total payment for the compact county medical community, strengthen supervision and assessment, retain the balance, and share the reasonable over-expenditure
.
Scientifically formulate the total medical insurance budget, reasonably determine and dynamically adjust the payment standards according to the type of disease, according to the bed day, and according to the head of the population
.
Standardize the management of medical insurance agreements, clarify the settlement time limit, and refine the settlement rules to ensure that the funds are paid in full and in time
.
Guide and promote public hospitals to actively participate in the reform of the centralized procurement and use of drugs and medical consumables organized by the state, and implement the policy of retention of medical insurance funds
.
Explore medical insurance payment methods that meet the characteristics of traditional Chinese medicine
.
 　　6.
Strengthen the cultural construction of public hospitals 　　 (1) Practicing the purpose of running public hospitals
.
Adhere to the public welfare of public hospitals, adhere to the faith of pure doctors, respect the laws of medical science, abide by medical ethics, and follow the technical specifications of clinical diagnosis and treatment
.
Constantly reform and innovate, optimize the process, deepen the connotation, and establish a warm hospital
.
Build a team of medical staff with superb medical skills, noble medical ethics, and rigorous medical ethics, and shape the industry's clean and healthy atmosphere
.
Abide by the service tenet, enhance service awareness, improve service quality, and wholeheartedly provide the people with safe, appropriate, high-quality and efficient medical and health services, and build a harmonious doctor-patient relationship
.
 　　 (2) Gather a strong spiritual motivation
.
Strengthen the party’s leadership over the cultural construction of public hospitals, use the party’s political construction to lead the hospital’s cultural construction, and build a red position in public hospitals
.
Excavate and sort out the history and cultural characteristics of the hospital, and the academic thoughts and noble medical ethics of famous doctors, refine the hospital training, vision, and mission, and gather the spiritual power that supports the high-quality development of the hospital
.
Vigorously promote the great anti-epidemic spirit and lofty professionalism, inspire the inexhaustible motivation of medical staff to be extremely responsible for their work, extremely enthusiasm to the people, and to strive for excellence in technology, to sing the main theme of the sincerity of doctors and the benevolence of doctors, and to provide medical services full of humanistic care Win the trust and respect of patients and society
.
 　　 (3) Caring for medical staff
.
Establish a long-term mechanism for protecting, caring, and caring for medical personnel
.
Improve the working environment and conditions of medical staff, reduce workload, implement a system of study, work, rest and paid leave, and safeguard the legitimate rights and interests of medical staff
.
Encourage public hospitals to care for the growth of young medical staff by setting up youth learning funds and other methods
.
Improve the employee care and assistance mechanism to effectively solve the practical difficulties of medical staff
.
Establish a professional honor system for medical staff, create a good atmosphere in which the whole society respects medical care, so that the majority of medical staff can feel the pride of realizing value, the sense of accomplishment of contributing to the society, and the sense of professional honor that is respected
.
Strengthen the safety of hospitals, strengthen the construction of the security team, and improve the necessary security inspection facilities
.
Bring the resolution of medical disputes into the track of the rule of law, improve and improve the mechanism for preventing and handling medical disputes, and severely crack down on medical-related crimes such as medical disturbances and violent injuries in accordance with the law, and resolutely protect the safety of medical personnel
.
 　　Seven, strengthen the party's overall leadership 　　 (1) Implement the dean responsibility system under the leadership of the party committee
.
Persist in the party's overall leadership over public hospitals, public hospital party committees and other hospital-level party organizations play a leading role in guiding the direction, managing the overall situation, making decisions, promoting reforms, and ensuring implementation, and collectively study and decide major issues
.
The hospital party committee implements a system that combines collective leadership and individual responsibility
.
Improve the decision-making system of the hospital’s party committee and dean’s office meetings, establish a regular communication between the secretary and dean, and a report system on the implementation of the dean’s responsibility system under the leadership of the party committee, and strive to build a unified leadership of the party committee, the division of work between the party and the government to support cooperation, and coordinate operation Working mechanism
.
In the public hospital charter, the content and requirements of party building work are clarified, the mechanism for the party committee to study and determine major issues in the hospital, the party leadership is integrated into all aspects and links of the entire hospital governance process, and the requirements for party building are implemented
.
 　　 (2) Strengthen the construction of the leadership team and cadre talent team
.
Select and match the leading members of the hospital, especially the party secretary and dean
.
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
.
Adhering to the principle of party management of cadres, the hospital’s party committee shall formulate and implement specific methods for the selection and appointment of the heads of the hospital’s internal organizations in accordance with the relevant regulations on the selection and appointment of cadres
.
Adhere to the principle of party management of talents, improve the management methods for talent training, use and introduction, establish a system for hospital leadership members to contact and serve high-level talents, and explore the establishment of a talent evaluation system focusing on medical ethics, ability, and performance
.
 　　 (3) Implement the responsibilities of party building in public hospitals
.
The party committee of public hospitals bears the main responsibility for party building work, the party committee secretary is the first person responsible for party building work, and other members of the leadership team implement the "one post with two responsibilities"
.
Fully carry out the public hospital party organization secretary to grasp the grass-roots party building report and appraisal, and incorporate the party building work into the hospital grade evaluation and inspection work content, as an important basis for the annual assessment and the selection and appointment of cadres
.
Reasonably set up hospitals’ party building work institutions, fully and strengthen the party building work force, and promote full coverage of party organizations and party work
.
Establish and improve the internal party branch of the hospital, select and assign strong party branch secretaries, promote the standardized and standardized construction of primary party branches in public hospitals, and implement the "dual leader" cultivation project for the party branch secretaries of the clinical medical technical departments of the hospital
.
 　　8.
Strengthen organization and implementation 　　 (1) Strengthen organization and leadership
.
All localities should strengthen the organization and leadership of the high-quality development of public hospitals, and actively coordinate relevant departments to create a good policy environment for the high-quality development of public hospitals
.
Public hospitals at all levels and types must grasp development opportunities, strengthen overall planning based on the current situation, clarify stage goals, and provide high-quality and efficient medical services to the general public
.
 　　 (2) Implement work responsibilities
.
It is necessary to 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
.
 　　 (3) Implement the investment policy
.
Governments at all levels must earnestly fulfill the main responsibility for the construction of public medical institutions, and fully implement the six government investment policies for public hospitals in line with the plan
.
Implement the preferential investment policies for Chinese medicine hospitals, infectious disease hospitals, psychiatric hospitals, children's hospitals, maternity and child care hospitals and other specialized hospitals
.
 　　 (4) Strengthen the guidance of public opinion
.
Health administrative departments at all levels should sum up work experience in a timely manner, dig out examples, strengthen publicity of work results, correctly guide public opinion, carry out policy interpretation, and create a good social public opinion environment for the high-quality development of public hospitals
.
 　　General Office of the People's Government of Jilin Province October 12 , 　　2021　　Recently, the General Office of the People's Government of Jilin Province issued the "Implementation Opinions of the General Office of the People's Government of Jilin Province on Promoting the High-quality Development of Public Hospitals" (hereinafter referred to as the "Implementation Opinions")
.
 　　The "Implementation Opinions" have done in terms of overall requirements, optimizing the layout of high-quality development, improving medical service capabilities, strengthening public hospital operation management, activating the development momentum of public hospitals, strengthening public hospital culture construction, strengthening the overall leadership of the party, and strengthening organization and implementation.
Description
.
In the overall requirements, the "Implementation Opinions" mentioned that it will take 5 years to strive to realize the development mode of public hospitals from scale expansion to quality and efficiency improvement, operation mode from extensive to refined management, and resource allocation from material to human resources and technology.
Elements, to provide strong support for better providing high-quality and efficient medical and health services, preventing and resolving major epidemics and sudden public health risks, and building a healthy Jilin
.
 　　The full text of the "Implementation Opinions" is as follows: 　　Implementation Opinions of the General Office of the People's Government of Jilin Province on Promoting the High-quality Development of Public Hospitals 　　Jizheng Banfa (2021) No.
43 　　Municipal (prefecture) people's governments, Changbai Mountain Management Committee, Changchun New Area, China-Korea (Changchun) International Cooperation Demonstration Zone Management Committee, county (city) people's governments, provincial government departments, offices, and directly affiliated institutions: 　　In order to implement the "Opinions of the General Office of the State Council on Promoting the High-Quality Development of Public Hospitals" (Guobanfa [2021] No.
18), we will make every effort to push our province's public hospitals into a new stage of high-quality development, provide high-quality and efficient medical services, and better To meet the growing multi-level and diversified health service needs of the people, with the consent of the provincial government, the following opinions are put forward
.
 　　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, adhere to the new era hygiene and health work policy, and focus on people's health , Holding high the banner of public welfare, highlighting the main body status of public hospitals, improving the medical quality and management level of public hospitals, and striving to use 5 years to strive to realize the development of public hospitals from scale expansion to improvement of quality and efficiency, and operation mode from extensive to refined management , The allocation of resources has shifted from focusing on materials to human resources and technical elements, providing strong support for better providing high-quality and efficient medical and health services, preventing and resolving major epidemics and sudden public health risks, and building a healthy Jilin
.
 　　2.
Optimize the layout of high-quality development 　　 (1) Build high-level provincial public hospitals
.
Select and build 3 provincial-level regional medical centers to form a high-quality medical service, medical research and talent training highland with strong leadership and radiation driving effects in the province, concentrate on researching difficult and critical diseases diagnosis and treatment technology, and carry out cutting-edge medical technology innovation research And the transformation of results, the implementation of high-level medical personnel training, and the formation of key clinical specialist groups, the critical and intractable diseases of the masses are basically solved in the province
.
Create a national-level traditional Chinese medicine inheritance and innovation center, improve the basic research of traditional Chinese medicine, diagnosis and treatment of superior diseases, high-level talent training, research and development of Chinese medicine equipment and new Chinese medicine, and transformation of scientific and technological achievements.
The highland of medical heritage and innovation
.
 　　 (2) Strengthen the construction of public hospitals in prefectures and cities
.
Through the construction of medical consortium and the hierarchical diagnosis and treatment system, combined with the construction of regional medical centers, we will promote the overall improvement of the service capacity of public hospitals in prefectures and cities, and strive to realize that each prefecture and city has a tertiary hospital
.
Taking the urban area as the planning unit, the service area is divided into several grids according to the distribution of medical resources, and the formation of the tertiary public hospitals in the jurisdiction or the hospitals representing the medical level of the jurisdiction (including social hospitals and traditional Chinese medicine hospitals) takes the lead, and other hospitals , The urban medical group with primary medical and health institutions and public health institutions as its members, coordinate the provision of integrated and continuous medical services such as prevention, treatment, rehabilitation, and health promotion for residents in the grid
.
In combination with actual conditions, hospitals have established advantageous professional specialties, forming a development pattern featuring distinctive characteristics, complementary specialties, dislocation development, and orderly competition, which will drive grassroots medical and health institutions to improve their service capabilities and management levels
.
Strive to establish a three-level Chinese medicine medical institution in each prefecture and city
.
Strengthen the standardization of public health departments in public hospitals, and improve public health service capabilities
.
 　　 (3) Strengthen the construction of primary medical institutions
.
Strengthen the capacity building of county-level hospitals (including Chinese medicine hospitals), upgrade core specialties, consolidate supporting specialties, create superior specialties, and improve the prevention and treatment capabilities of tumors, cardiovascular, cerebrovascular, respiratory, digestive and infectious diseases, and the county-level consultation rate has reached more than 90%
.
Strengthen the counterpart assistance of the city's tertiary hospitals to the county-level hospitals.
The county-level public hospitals will gradually reach the second-class A, and the compact county medical community will gradually cover more than 50% of the county-level public hospitals in the province
.
In accordance with the principles of county-town integration and rural integration, strengthen the overall management of county-level hospitals to township health centers and village clinics, give full play to the technical support role of county-level hospital medical staff for family doctors, and enhance residents’ health "gatekeeper" capabilities
.
Strengthen the division of labor and business integration between county-level hospitals and disease prevention and control institutions, health supervision institutions, maternal and child health institutions, and community health service centers, and implement public health services
.
Support traditional Chinese medicine hospitals to take the lead in forming a county medical community
.
Achieve full coverage of county-run TCM hospitals, and the construction rate of TCM clinics in township health centers and community health service centers will reach 100%, forming a three-level TCM service network in counties and villages
.
 　　 (4) Establish a major epidemic treatment system that integrates medical and prevention
.
On the basis of existing resources, accelerate the construction of provincial-level regional medical centers for infectious diseases, trauma, and major public health incidents
.
Support multi-campus public hospitals to focus on strengthening the capacity building of epidemic treatment in hospitals other than the main hospital area, so that they can quickly realize functional conversion when a major epidemic occurs
.
Each prefecture and city chooses a general hospital to improve the ability to treat infectious diseases in a targeted manner, improve the infrastructure and upgrade equipment of the existing independent infectious disease hospitals, and each prefecture and city has an infectious disease hospital
.
Relying on a county-level public hospital within the county, strengthen the construction of infectious disease departments and relatively independent infectious disease areas
.
Strengthen the standardization of public health departments in public hospitals, and improve public health service capabilities
.
Public health institutions and medical institutions shall establish a sound cooperation mechanism featuring division of labor, cooperation, complementary advantages, and business integration
.
Give full play to the unique role of Chinese medicine in the prevention, control and treatment of major epidemics, and build a high-level Chinese medicine epidemic prevention and control team
.
Give full play to the role of military hospitals in the prevention, control and treatment of major epidemics and national biological security defenses
.
Continue to strengthen the management of nosocomial infection prevention and control, and improve the ability to respond to major epidemics
.
 　　3.
Improve medical service capabilities 　　 (1) Strengthen the construction of key clinical specialties
.
Relying on provincial-level regional medical centers, we will cultivate a group of domestic first-class specialists in medical technology, medical quality, and clinical research
.
Oriented to meet the clinical needs of major diseases, build a provincial-level key clinical specialist group based on the superior specialist resources of medical institutions in the province
.
Develop clinical specialties such as critical illness, tumor, cardiovascular and cerebrovascular, respiratory, digestion, infection, pediatrics, anesthesia, imaging, pathology, laboratory, geriatrics, etc.
, and promote the improvement of diagnosis and treatment capabilities and levels with the development of specialties.
Difficult surgery and diagnosis and treatment of difficult and complex diseases provide high-tech support
.
A batch of key clinical specialties at the city and county level have been built, and the level of homogeneity of regional specialised medical services has been significantly improved
.
Increase support for TCM hospitals, and strengthen the construction of superior TCM specialties such as acupuncture, massage, cardiovascular and cerebrovascular diseases, and peripheral vascular diseases
.
 　　 (2) Strengthen medical quality management
.
Implement the core system of medical quality and safety, standardize medical service behaviors, promote medical service procedures, prioritize quality and safety as the medical service orientation, and continuously improve the medical experience of the masses
.
Promote medical institutions to establish a three-level network of medical quality management, and form the interaction and linkage between the quality management committee, functional management departments and business departments
.
Taking performance appraisal as the starting point, benchmarking the performance appraisal system, systematically combing and analyzing medical quality control elements, comprehensively evaluating medical quality management, and promoting the establishment of a good medical quality management and improvement system in hospitals, focusing on safety, quality, service, and management , The five elements of performance, strengthen quality management and improvement
.
Carry out public hospital grade review, and comprehensively improve hospital management level, medical technology level and service quality
.
Strengthen the application of DRG data evaluation tools, strengthen the quality management of the medical record homepage, and establish a quality control and monitoring system for data collection, sharing and business collaboration
.
 　　 (3) Promote scientific research on medical technology
.
Establish a clinical demand-oriented scientific research mechanism, connect with the frontiers of science and technology in the fields of life sciences and biomedicine, focus on emerging major infectious diseases, rare diseases, cardiovascular and cerebrovascular diseases and tumors and other major diseases, strengthen basic and clinical research, and promote original diseases The output of new technologies, new products, new programs and new strategies for prevention, diagnosis and treatment
.
Strengthen the supporting role of scientific research in response to major epidemics and public health emergencies, adhere to the coordination of clinical research and clinical diagnosis and treatment, and scientific research results to serve the frontline clinical clinics
.
Build and improve the scientific and technological innovation platform of Chinese medicine, and support the construction of the national Chinese medicine clinical research base
.
Carry out research on key technologies for the production of Chinese medicinal materials, new Chinese medicines, ethnic medicines, and Chinese medicine health products
.
Accelerate the development of commercial health insurance and promote the introduction of new medical technologies into clinical use
.
 　　 (4) Promote innovation in medical service models
.
Develop a multi-disciplinary diagnosis and treatment model, open multi-disciplinary diagnosis and treatment clinics for tumors, difficult and complex diseases, and multi-system and multi-organ diseases to provide patients with "one-stop" diagnosis and treatment services; implement the national single-disease multi-disciplinary diagnosis and treatment norms and establish single-disease Multidisciplinary case discussion and joint rounds system provide multidisciplinary diagnosis and treatment services for inpatients
.
All tertiary general hospitals and qualified specialist hospitals in the province are required to carry out day surgery, and the proportion of day surgery in the amount of surgery is gradually increasing
.
Carry out time-based appointments for diagnosis and treatment and centralized appointments for inspections, and carry out services such as clinic (bedside) settlement and mutual recognition of inspection and inspection results
.
Implement the overall responsibility system, strengthen basic nursing, and carry out continuous nursing services
.
Set up rational drug use consultation or drug treatment management outpatient clinics, and carry out precise drug use services
.
Vigorously promote the construction of the pre-hospital medical emergency network, innovate the emergency emergency service model, and effectively improve the pre-hospital medical emergency service capacity
.
We will further strengthen the concepts of focusing on prevention, moving the border forward, and integrating prevention and treatment, and establish a new service model that integrates medicine and prevention
.
Promote the comprehensive diagnosis and treatment model of traditional Chinese medicine, the multi-disciplinary integrated diagnosis and treatment model, and the whole chain service model, and implement the pilot clinical collaboration between Chinese and Western medicine for major and difficult diseases
.
 　　 (5) Improve information technology application capabilities
.
Promote the in-depth integration of new-generation information technologies such as cloud computing, big data, Internet of Things, blockchain, and artificial intelligence with medical services
.
Promote the construction of smart hospitals and hospital information standardization with the “trinity” of electronic medical records, smart services, and smart management
.
Vigorously develop telemedicine and Internet diagnosis and treatment
.
Promote the development and application of intelligent medical equipment such as surgical robots and intelligent auxiliary diagnosis and treatment systems
.
Strictly implement the drug traceability system, and explore the interconnection and intercommunication of prescription information in public hospitals and drug retail consumption information using the "Internet + electronic prescription" model
.
 　　4.
Strengthen the operation and management of public hospitals 　　 (1) Innovative operation and management system
.
Leading the high-quality development of public hospitals with new development concepts, effectively improving the supply efficiency of core services such as medical treatment, teaching, scientific research, and prevention, integrating medical, teaching, scientific research and other business systems and human, financial, and material resource systems, and establishing hospital operation management decisions Support the system, promote the scientific, standardized, and refined hospital operation management, improve the efficiency of internal resource allocation and operation management efficiency, and realize the dual control of medical costs and medical quality
.
Establish a standard system for disease combination with big data methods to form quantified treatment standards, drug standards, and consumables standards for disease severity and resource consumption in each disease group, and improve the hospital's case combination index (CMI), cost output, and doctor performance Monitoring and evaluation are carried out to guide the hospital to return to its functional positioning, improve efficiency, save costs, and reduce the burden of patients for medical treatment
.
Strengthen the process management of the key links of cost consumption and reduce the energy consumption expenditure of 10,000 yuan of income
.
 　　 (2) Strengthen comprehensive budget management
.
All economic activities are included in budget management, to enhance public hospitals’ awareness of budget revenue and expenditure management, and to improve the efficiency of budget resource utilization
.
Based on the hospital’s strategic development plan and annual plan goals, implement full-caliber, full-process, full-staff, and full-scale budget management, which runs through budget preparation, approval, execution, monitoring, adjustment, final accounts, analysis, and assessment.
Implement budget performance management in terms of quantity, quality, effectiveness, cost, benefit, etc.
, strengthen budget constraints, and promote the effective allocation and use of resources
.
Incorporate comprehensive budget management into the scope of hospital budget performance appraisal, strengthen performance appraisal orientation, promote the implementation of public welfare, improve the quality of medical services, and promote the sustainable development of hospitals
.
Regularly disclose the relevant financial information of the hospital and actively accept social supervision
.
 　　 (3) Improve the internal control system
.
Adhere to the principle of public welfare, effectively prevent and control the operational risks of economic activities and related business activities, and achieve legal compliance, controllable risks, high-quality, high-efficiency, and sustainable development of hospital operating activities
.
Focus on major risks, major events, and important processes in business management and economic management, carry out risk assessment and internal control evaluation, strengthen internal authorization approval control, budget control, asset control, accounting control, government procurement control, information disclosure control, etc.
, Prevent financial risks, business risks, legal risks and corruption risks, and promote the continuous improvement of public hospital service efficiency and internal governance
.
Strengthen the construction of smart logistics in public hospitals and promote the "one-stop" service for hospital logistics
.
 　　 (4) Improve the performance evaluation mechanism
.
Carry out the performance appraisal of public hospitals in an all-round way, promote the transformation of the development mode and management mode of the secondary and tertiary public hospitals, promote more scientific and fair income distribution, and achieve efficiency improvement and quality improvement
.
Adhere to and strengthen the public welfare orientation, continue to optimize the performance evaluation index system, promote public hospitals to actively strengthen and improve hospital management, and strengthen connotation construction
.
Reform the internal performance appraisal methods of public hospitals, based on the employment contract, focusing on the completion of job responsibilities, and linking the appraisal results with salary distribution
.
 　　 (5) Strengthen supervision of practice behavior
.
Public hospitals should strengthen industry self-discipline, and assume the main responsibility for the organization's law-based practice, standardized services, service quality and safety, and conduct development
.
Improve the management system, improve the working mechanism, strictly abide by the laws and regulations , strengthen the management and assessment of employees, and strengthen the sense of subject responsibility
.
Establish and improve internal management mechanisms such as service quality and safety, human resources, financial assets, and performance appraisal, and consciously accept industry supervision and social supervision
.
Improve the linkage mechanism between comprehensive supervision results and public hospital verification, grade review, medical insurance fixed-point agreement management, key specialty setting, financial investment, evaluation and evaluation, as well as the results of medical and health service supervision of practitioners and the appointment of professional titles, job promotion, and evaluation.
first appraised, performance allocation hook mechanism
.
Strengthen the recording, publicity and early warning of untrustworthy behaviors, and establish and improve the credit mechanism of the medical and health industry
.
 　　5.
Activate the development momentum of public hospitals 　　 (1) Reform the personnel management system
.
Implement the staffing standards for public hospitals of the Central Organization Office, study and formulate the staffing management methods of public hospitals in our province in line with the high-quality development needs of public hospitals in our province, establish a dynamic adjustment mechanism, and optimize the allocation of staffing resources
.
Implement the autonomy of employment in public hospitals, and make overall consideration of the treatment of internal and external personnel in the establishment
.
Implement the job management system, rationally set up positions according to different categories of medicine, nursing, medicine, technology, management, etc.
, scientifically compile job responsibility letters, implement competitive employment and contract management, and encourage talents to stand out
.
Increase the number of nurses, and gradually make the overall medical-care ratio of public hospitals reach around 1:2
.
 　　 (2) Reform the salary distribution system
.
We will comprehensively deepen the reform of the salary system in public hospitals, establish a salary system in public hospitals that adapts to the characteristics of the medical industry in our province, ensure reasonable salaries for medical staff, and further mobilize the enthusiasm of medical staff to serve the masses
.
Implement the requirement of “allowing medical and health institutions to break through the current wage regulation level of public institutions, allowing medical service income to deduct costs and withdrawing various funds as required to be used for personnel rewards”, and ensure the sound operation of medical institutions, affordable basic medical insurance expenditures, and the masses On the basis of not increasing the overall burden and continuously improving the level of medical services, scientifically and reasonably determine and dynamically adjust the salary level of public hospitals, and reasonably determine the proportion of personnel expenditures to public hospitals’ business expenditures
.
Establish a remuneration system that mainly reflects job responsibilities and knowledge value, and implement job-based responsibilities, job-based wages, appropriate responsibilities and salaries, and assessments
.
To gather high-level personnel, the heavy task of public interest objectives, undertake research and teaching tasks and public hospitals need to focus on the development of performance evaluation or excellent results, as well as in medicine outstanding characteristics and advantages of Chinese medicine hospital , be appropriate tilt
.
Implement the autonomy of the internal distribution of public hospitals.
Public hospitals can adopt a variety of methods to allocate independently within the total approved salary
.
We can continue to improve the job performance wage system, and we can also independently determine other more effective distribution models based on the actual situation of the unit
.
Hospitals can independently set up remuneration projects that reflect the characteristics of the medical industry, labor characteristics and job value, give full play to the guarantee and incentives of various projects, and pay more attention to the guarantee function of the remuneration system
.
Appropriately increase the salary level of junior doctors, and make overall consideration of the remuneration package of internal and external staff
.
Encourage the implementation of an annual salary system for the main persons in charge
.
 　　 (3) Improve the evaluation system for the training of medical personnel
.
Strengthen the cultivation of clinical skills and medical ethics of medical students, strengthen early clinical, multi-clinical, and repeated clinical practice for medical students, so that medical students can be exposed to clinical practice as soon as possible, and cultivate a sense of professional identity
.
Implement standardized training for residents, standardized training for specialist doctors, and continuing medical education systems
.
Strengthen the education of teachers and students in Chinese medicine , and strengthen the learning model of early follow-up with teachers and early clinical learning
.
Accelerate the cultivation of high-level compound medical talents, and cultivate a group of international-level strategic talents, leading talents and innovative teams
.
Strengthen the training and training of nurses in the elderly, pediatrics, critically ill, infectious diseases and other nursing professionals who are in short supply, promote the scientific management of nursing posts, and improve the level of nursing service
.
Reform and improve the talent evaluation mechanism, adhere to hierarchical and categorized evaluation, reasonably set evaluation standards, highlight the performance orientation of moral ability, increase the number and quality of clinical work, explore the implementation of a representative work system, and dilute the number of papers
.
Implement the spirit of the relevant policies for delegating the authority of professional title review, and explore pilot projects in tertiary public hospitals with reasonable job settings, complete personnel management, and willingness to conduct independent reviews to independently conduct senior professional title reviews
.
 　　 (4) Deepen the reform of medical service prices
.
Steadily and orderly pilot exploration of price optimization of medical services
.
Establish and improve a medical service price formation mechanism that adapts to economic and social development, makes better use of the role of the government, fully participates in medical institutions, and reflects the value of technical labor services
.
Make overall plans and take into account the needs of medical development and the affordability of all parties, and regulate the overall level of medical service prices
.
Establish a sensitive and orderly price dynamic adjustment mechanism, carry out regular price adjustment evaluations, and adjust the price of medical services in a stable and orderly manner if the conditions for starting are met, straighten out the relationship between prices, support public hospitals to optimize the income structure, and increase the income of medical services (excluding medicines and consumables) , Inspection and laboratory testing income) as a percentage of medical income
.
Speed ​​up the review of new medical service price items
.
 　　 (5) Deepen the reform of medical insurance payment methods
.
Promote a diversified compound medical insurance payment method based on disease-based payment, carry out national pilots of payment by disease diagnosis-related groupings, carry out pilots of regional point-based total budget and disease-based scores, and explore bed-based payment and outpatient payment per head Pay
.
Explore the implementation of a total payment for the compact county medical community, strengthen supervision and assessment, retain the balance, and share the reasonable over-expenditure
.
Scientifically formulate the total medical insurance budget, reasonably determine and dynamically adjust the payment standards according to the type of disease, according to the bed day, and according to the head of the population
.
Standardize the management of medical insurance agreements, clarify the settlement time limit, and refine the settlement rules to ensure that the funds are paid in full and in time
.
Guide and promote public hospitals to actively participate in the reform of the centralized procurement and use of drugs and medical consumables organized by the state, and implement the policy of retention of medical insurance funds
.
Explore medical insurance payment methods that meet the characteristics of traditional Chinese medicine
.
 　　6.
Strengthen the cultural construction of public hospitals 　　 (1) Practicing the purpose of running public hospitals
.
Adhere to the public welfare of public hospitals, adhere to the faith of pure doctors, respect the laws of medical science, abide by medical ethics, and follow the technical specifications of clinical diagnosis and treatment
.
Constantly reform and innovate, optimize the process, deepen the connotation, and establish a warm hospital
.
Build a team of medical staff with superb medical skills, noble medical ethics, and rigorous medical ethics, and shape the industry's clean and healthy atmosphere
.
Abide by the service tenet, enhance service awareness, improve service quality, and wholeheartedly provide the people with safe, appropriate, high-quality and efficient medical and health services, and build a harmonious doctor-patient relationship
.
 　　 (2) Gather a strong spiritual motivation
.
Strengthen the party’s leadership over the cultural construction of public hospitals, use the party’s political construction to lead the hospital’s cultural construction, and build a red position in public hospitals
.
Excavate and sort out the history and cultural characteristics of the hospital, and the academic thoughts and noble medical ethics of famous doctors, refine the hospital training, vision, and mission, and gather the spiritual power that supports the high-quality development of the hospital
.
Vigorously promote the great anti-epidemic spirit and lofty professionalism, inspire the inexhaustible motivation of medical staff to be extremely responsible for their work, extremely enthusiasm to the people, and to strive for excellence in technology, to sing the main theme of the sincerity of doctors and the benevolence of doctors, and to provide medical services full of humanistic care Win the trust and respect of patients and society
.
 　　 (3) Caring for medical staff
.
Establish a long-term mechanism for protecting, caring, and caring for medical personnel
.
Improve the working environment and conditions of medical staff, reduce workload, implement a system of study, work, rest and paid leave, and safeguard the legitimate rights and interests of medical staff
.
Encourage public hospitals to care for the growth of young medical staff by setting up youth learning funds and other methods
.
Improve the employee care and assistance mechanism to effectively solve the practical difficulties of medical staff
.
Establish a professional honor system for medical staff, create a good atmosphere in which the whole society respects medical care, so that the majority of medical staff can feel the pride of realizing value, the sense of accomplishment of contributing to the society, and the sense of professional honor that is respected
.
Strengthen the safety of hospitals, strengthen the construction of the security team, and improve the necessary security inspection facilities
.
Bring the resolution of medical disputes into the track of the rule of law, improve and improve the mechanism for preventing and handling medical disputes, and severely crack down on medical-related crimes such as medical disturbances and violent injuries in accordance with the law, and resolutely protect the safety of medical personnel
.
 　　Seven, strengthen the party's overall leadership 　　 (1) Implement the dean responsibility system under the leadership of the party committee
.
Persist in the party's overall leadership over public hospitals, public hospital party committees and other hospital-level party organizations play a leading role in guiding the direction, managing the overall situation, making decisions, promoting reforms, and ensuring implementation, and collectively study and decide major issues
.
The hospital party committee implements a system that combines collective leadership and individual responsibility
.
Improve the decision-making system of the hospital’s party committee and dean’s office meetings, establish a regular communication between the secretary and dean, and a report system on the implementation of the dean’s responsibility system under the leadership of the party committee, and strive to build a unified leadership of the party committee, the division of work between the party and the government to support cooperation, and coordinate operation Working mechanism
.
In the public hospital charter, the content and requirements of party building work are clarified, the mechanism for the party committee to study and determine major issues in the hospital, the party leadership is integrated into all aspects and links of the entire hospital governance process, and the requirements for party building are implemented
.
 　　 (2) Strengthen the construction of the leadership team and cadre talent team
.
Select and match the leading members of the hospital, especially the party secretary and dean
.
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
.
Adhering to the principle of party management of cadres, the hospital’s party committee shall formulate and implement specific methods for the selection and appointment of the heads of the hospital’s internal organizations in accordance with the relevant regulations on the selection and appointment of cadres
.
Adhere to the principle of party management of talents, improve the management methods for talent training, use and introduction, establish a system for hospital leadership members to contact and serve high-level talents, and explore the establishment of a talent evaluation system focusing on medical ethics, ability, and performance
.
 　　 (3) Implement the responsibilities of party building in public hospitals
.
The party committee of public hospitals bears the main responsibility for party building work, the party committee secretary is the first person responsible for party building work, and other members of the leadership team implement the "one post with two responsibilities"
.
Fully carry out the public hospital party organization secretary to grasp the grass-roots party building report and appraisal, and incorporate the party building work into the hospital grade evaluation and inspection work content, as an important basis for the annual assessment and the selection and appointment of cadres
.
Reasonably set up hospitals’ party building work institutions, fully and strengthen the party building work force, and promote full coverage of party organizations and party work
.
Establish and improve the internal party branch of the hospital, select and assign strong party branch secretaries, promote the standardized and standardized construction of primary party branches in public hospitals, and implement the "dual leader" cultivation project for the party branch secretaries of the clinical medical technical departments of the hospital
.
 　　8.
Strengthen organization and implementation 　　 (1) Strengthen organization and leadership
.
All localities should strengthen the organization and leadership of the high-quality development of public hospitals, and actively coordinate relevant departments to create a good policy environment for the high-quality development of public hospitals
.
Public hospitals at all levels and types must grasp development opportunities, strengthen overall planning based on the current situation, clarify stage goals, and provide high-quality and efficient medical services to the general public
.
 　　 (2) Implement work responsibilities
.
It is necessary to 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
.
 　　 (3) Implement the investment policy
.
Governments at all levels must earnestly fulfill the main responsibility for the construction of public medical institutions, and fully implement the six government investment policies for public hospitals in line with the plan
.
Implement the preferential investment policies for Chinese medicine hospitals, infectious disease hospitals, psychiatric hospitals, children's hospitals, maternity and child care hospitals and other specialized hospitals
.
 　　 (4) Strengthen the guidance of public opinion
.
Health administrative departments at all levels should sum up work experience in a timely manner, dig out examples, strengthen publicity of work results, correctly guide public opinion, carry out policy interpretation, and create a good social public opinion environment for the high-quality development of public hospitals
.
 　　General Office of the People's Government of Jilin Province October 12 , 　　2021　　Recently, the General Office of the People's Government of Jilin Province issued the "Implementation Opinions of the General Office of the People's Government of Jilin Province on Promoting the High-quality Development of Public Hospitals" (hereinafter referred to as the "Implementation Opinions")
.
 　　The "Implementation Opinions" have done in terms of overall requirements, optimizing the layout of high-quality development, improving medical service capabilities, strengthening public hospital operation management, activating the development momentum of public hospitals, strengthening public hospital culture construction, strengthening the overall leadership of the party, and strengthening organization and implementation.
Description
.
In the overall requirements, the "Implementation Opinions" mentioned that it will take 5 years to strive to realize the development mode of public hospitals from scale expansion to quality and efficiency improvement, operation mode from extensive to refined management, and resource allocation from material to human resources and technology.
Elements, to provide strong support for better providing high-quality and efficient medical and health services, preventing and resolving major epidemics and sudden public health risks, and building a healthy Jilin
.
 　　The full text of the "Implementation Opinions" is as follows: 　　Implementation Opinions of the General Office of the People's Government of Jilin Province on Promoting the High-quality Development of Public HospitalsImplementation Opinions of the General Office of the People's Government of Jilin Province on Promoting the High-quality Development of Public Hospitals 　　Jizheng Banfa (2021) No.
43　　Jizheng Banfa (2021) No.
43 　　Municipal (prefecture) people's governments, Changbai Mountain Management Committee, Changchun New Area, China-Korea (Changchun) International Cooperation Demonstration Zone Management Committee, county (city) people's governments, provincial government departments, offices, and directly affiliated institutions: 　　In order to implement the "Opinions of the General Office of the State Council on Promoting the High-Quality Development of Public Hospitals" (Guobanfa [2021] No.
18), we will make every effort to push our province's public hospitals into a new stage of high-quality development, provide high-quality and efficient medical services, and better To meet the growing multi-level and diversified health service needs of the people, with the consent of the provincial government, the following opinions are put forward
.
 　　1.
General requirements　　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, adhere to the new era hygiene and health work policy, and focus on people's health , Holding high the banner of public welfare, highlighting the main body status of public hospitals, improving the medical quality and management level of public hospitals, and striving to use 5 years to strive to realize the development of public hospitals from scale expansion to improvement of quality and efficiency, and operation mode from extensive to refined management , The allocation of resources has shifted from focusing on materials to human resources and technical elements, providing strong support for better providing high-quality and efficient medical and health services, preventing and resolving major epidemics and sudden public health risks, and building a healthy Jilin
.
 　　2.
Optimize the layout of high-quality development　　2.
Optimize the layout of high-quality development 　　 (1) Build high-level provincial public hospitals
.
Select and build 3 provincial-level regional medical centers to form a high-quality medical service, medical research and talent training highland with strong leadership and radiation driving effects in the province, concentrate on researching difficult and critical diseases diagnosis and treatment technology, and carry out cutting-edge medical technology innovation research And the transformation of results, the implementation of high-level medical personnel training, and the formation of key clinical specialist groups, the critical and intractable diseases of the masses are basically solved in the province
.
Create a national-level traditional Chinese medicine inheritance and innovation center, improve the basic research of traditional Chinese medicine, diagnosis and treatment of superior diseases, high-level talent training, research and development of Chinese medicine equipment and new Chinese medicine, and transformation of scientific and technological achievements.
The highland of medical heritage and innovation
.
 　　 (2) Strengthen the construction of public hospitals in prefectures and cities
.
Through the construction of medical consortium and the hierarchical diagnosis and treatment system, combined with the construction of regional medical centers, we will promote the overall improvement of the service capacity of public hospitals in prefectures and cities, and strive to realize that each prefecture and city has a tertiary hospital
.
Taking the urban area as the planning unit, the service area is divided into several grids according to the distribution of medical resources, and the formation of the tertiary public hospitals in the jurisdiction or the hospitals representing the medical level of the jurisdiction (including social hospitals and traditional Chinese medicine hospitals) takes the lead, and other hospitals , The urban medical group with primary medical and health institutions and public health institutions as its members, coordinate the provision of integrated and continuous medical services such as prevention, treatment, rehabilitation, and health promotion for residents in the grid
.
In combination with actual conditions, hospitals have established advantageous professional specialties, forming a development pattern featuring distinctive characteristics, complementary specialties, dislocation development, and orderly competition, which will drive grassroots medical and health institutions to improve their service capabilities and management levels
.
Strive to establish a three-level Chinese medicine medical institution in each prefecture and city
.
Strengthen the standardization of public health departments in public hospitals, and improve public health service capabilities
.
 　　 (3) Strengthen the construction of primary medical institutions
.
Strengthen the capacity building of county-level hospitals (including Chinese medicine hospitals), upgrade core specialties, consolidate supporting specialties, create superior specialties, and improve the prevention and treatment capabilities of tumors, cardiovascular, cerebrovascular, respiratory, digestive and infectious diseases, and the county-level consultation rate has reached more than 90%
.
Strengthen the counterpart assistance of the city's tertiary hospitals to the county-level hospitals.
The county-level public hospitals will gradually reach the second-class A, and the compact county medical community will gradually cover more than 50% of the county-level public hospitals in the province
.
In accordance with the principles of county-town integration and rural integration, strengthen the overall management of county-level hospitals to township health centers and village clinics, give full play to the technical support role of county-level hospital medical staff for family doctors, and enhance residents’ health "gatekeeper" capabilities
.
Strengthen the division of labor and business integration between county-level hospitals and disease prevention and control institutions, health supervision institutions, maternal and child health institutions, and community health service centers, and implement public health services
.
Support traditional Chinese medicine hospitals to take the lead in forming a county medical community
.
Achieve full coverage of county-run TCM hospitals, and the construction rate of TCM clinics in township health centers and community health service centers will reach 100%, forming a three-level TCM service network in counties and villages
.
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。 　　 (2) Gather a strong spiritual motivation
.
Strengthen the party’s leadership over the cultural construction of public hospitals, use the party’s political construction to lead the hospital’s cultural construction, and build a red position in public hospitals
.
Excavate and sort out the history and cultural characteristics of the hospital, and the academic thoughts and noble medical ethics of famous doctors, refine the hospital training, vision, and mission, and gather the spiritual power that supports the high-quality development of the hospital
.
Vigorously promote the great anti-epidemic spirit and lofty professionalism, inspire the inexhaustible motivation of medical staff to be extremely responsible for their work, extremely enthusiasm to the people, and to strive for excellence in technology, to sing the main theme of the sincerity of doctors and the benevolence of doctors, and to provide medical services full of humanistic care Win the trust and respect of patients and society
.
 　　 (3) Caring for medical staff
.
Establish a long-term mechanism for protecting, caring, and caring for medical personnel
.
Improve the working environment and conditions of medical staff, reduce workload, implement a system of study, work, rest and paid leave, and safeguard the legitimate rights and interests of medical staff
.
Encourage public hospitals to care for the growth of young medical staff by setting up youth learning funds and other methods
.
Improve the employee care and assistance mechanism to effectively solve the practical difficulties of medical staff
.
Establish a professional honor system for medical staff, create a good atmosphere in which the whole society respects medical care, so that the majority of medical staff can feel the pride of realizing value, the sense of accomplishment of contributing to the society, and the sense of professional honor that is respected
.
Strengthen the safety of hospitals, strengthen the construction of the security team, and improve the necessary security inspection facilities
.
Bring the resolution of medical disputes into the track of the rule of law, improve and improve the mechanism for preventing and handling medical disputes, and severely crack down on medical-related crimes such as medical disturbances and violent injuries in accordance with the law, and resolutely protect the safety of medical personnel
.
 　　Seven, strengthen the party's overall leadership　　Seven, strengthen the party's overall leadership 　　 (1) Implement the dean responsibility system under the leadership of the party committee
.
Persist in the party's overall leadership over public hospitals, public hospital party committees and other hospital-level party organizations play a leading role in guiding the direction, managing the overall situation, making decisions, promoting reforms, and ensuring implementation, and collectively study and decide major issues
.
The hospital party committee implements a system that combines collective leadership and individual responsibility
.
Improve the decision-making system of the hospital’s party committee and dean’s office meetings, establish a regular communication between the secretary and dean, and a report system on the implementation of the dean’s responsibility system under the leadership of the party committee, and strive to build a unified leadership of the party committee, the division of work between the party and the government to support cooperation, and coordinate operation Working mechanism
.
In the public hospital charter, the content and requirements of party building work are clarified, the mechanism for the party committee to study and determine major issues in the hospital, the party leadership is integrated into all aspects and links of the entire hospital governance process, and the requirements for party building are implemented
.
 　　 (2) Strengthen the construction of the leadership team and cadre talent team
.
Select and match the leading members of the hospital, especially the party secretary and dean
.
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
.
Adhering to the principle of party management of cadres, the hospital’s party committee shall formulate and implement specific methods for the selection and appointment of the heads of the hospital’s internal organizations in accordance with the relevant regulations on the selection and appointment of cadres
.
Adhere to the principle of party management of talents, improve the management methods for talent training, use and introduction, establish a system for hospital leadership members to contact and serve high-level talents, and explore the establishment of a talent evaluation system focusing on medical ethics, ability, and performance
.
 　　 (3) Implement the responsibilities of party building in public hospitals
.
The party committee of public hospitals bears the main responsibility for party building work, the party committee secretary is the first person responsible for party building work, and other members of the leadership team implement the "one post with two responsibilities"
.
Fully carry out the public hospital party organization secretary to grasp the grass-roots party building report and appraisal, and incorporate the party building work into the hospital grade evaluation and inspection work content, as an important basis for the annual assessment and the selection and appointment of cadres
.
Reasonably set up hospitals’ party building work institutions, fully and strengthen the party building work force, and promote full coverage of party organizations and party work
.
Establish and improve the internal party branch of the hospital, select and assign strong party branch secretaries, promote the standardized and standardized construction of primary party branches in public hospitals, and implement the "dual leader" cultivation project for the party branch secretaries of the clinical medical technical departments of the hospital
.
 　　8.
Strengthen organization and implementation　　8.
Strengthen organization and implementation 　　 (1) Strengthen organization and leadership
.
All localities should strengthen the organization and leadership of the high-quality development of public hospitals, and actively coordinate relevant departments to create a good policy environment for the high-quality development of public hospitals
.
Public hospitals at all levels and types must grasp development opportunities, strengthen overall planning based on the current situation, clarify stage goals, and provide high-quality and efficient medical services to the general public
.
 　　 (2) Implement work responsibilities
.
It is necessary to 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
.
 　　 (3) Implement the investment policy
.
Governments at all levels must earnestly fulfill the main responsibility for the construction of public medical institutions, and fully implement the six government investment policies for public hospitals in line with the plan
.
Implement the preferential investment policies for Chinese medicine hospitals, infectious disease hospitals, psychiatric hospitals, children's hospitals, maternity and child care hospitals and other specialized hospitals
.
 　　 (4) Strengthen the guidance of public opinion
.
Health administrative departments at all levels should sum up work experience in a timely manner, dig out examples, strengthen publicity of work results, correctly guide public opinion, carry out policy interpretation, and create a good social public opinion environment for the high-quality development of public hospitals
.
 　　General Office of the People's Government of Jilin Province　　General Office of the People's Government of Jilin Province October 12 , 　　2021October 12 , 　　2021