Level 3 hospital classification management is coming!

On December 30, 2020, Xu Weicai and ten other departments of the Beijing Municipal Health and Health Commission jointly issued the Implementation Plan of Beijing on Strengthening the Research and Innovation Function of Medical and Health Institutions (2020-2022), which proposes to explore the classification and management of the city's three-level hospitals according to the classification of clinical, research, teaching and comprehensive types.
The Implementation Plan holds that medical and health institutions are rich in resources, but due to insufficient incentive and guidance policies, some strengths and advantages have not been well developed, resulting in insufficient research and innovation development momentum, weak security policies, inaeating operating mechanisms, insufficient input and transformation, insufficient integration of basic research and clinical research, low integration of information aggregation and not deep utilization of short boards and weaknesses.
In order to give full play to and release the resource advantages and innovative vitality of medical institutions, strengthen the top-level design, according to the responsibility of medical, teaching and research function positioning and actual development, explore the classification and management of the city's three-level hospitals according to the classification of clinical, research, teaching and comprehensive. The
program proposes to guide and support the development of some municipal hospitals to research-oriented hospitals, adjust the assessment methods, establish a matching department and personnel management system and full performance appraisal and evaluation system, and gradually realize the new pattern of rational layout of medical institutions in the city, the continuity of various functional differentiation, the appropriate employment and the coordinated development.
Encourage the transformation of three-level hospitals to build research-oriented hospitals for research-oriented hospitals, the implementation plan gives the definition is: research-oriented hospitals refers to clinical innovation research activities as the main function of the hospital, fruitful results, great impact should generally be three-level hospitals.
The Implementation Plan clearly supports the construction of research-oriented hospitals in the "Three Cities and One Zone" (referring to Zhongguancun Science City, Huairou Science City, Future Science City and Beijing Yizhuang Economic and Technological Development Zone), plans to build research hospitals of capital medical universities, encourages and guides social capital to participate in the construction of research-oriented hospitals, and entrusts medical institutions with experience in research ward construction or pharmaceutical clinical trials through franchising.
to encourage and guide existing hospitals to strengthen research and innovation functions, transform and build research-oriented hospitals, and start the demonstration construction of 2 research-oriented hospitals in 2021.
, in addition to piloting the construction of research-oriented hospitals, medical institutions are encouraged to build research-oriented wards.
, the hospital shall, in accordance with the agreement on the construction of research-based wards, build research-oriented wards in accordance with the requirements of not less than 30 beds, generally not exceeding about 10% of the number of beds available.
the average hospital stay day, bed turnover, bed uity rate and related cost indicators of the research ward can not be evaluated.
With 2-3 years, 20-30 model research wards will be built, and research wards will gradually be built into medical institutions and medical personnel to carry out clinical trials of pharmaceutical reagents, clinical research of new medical technologies and other innovative activities, and for the construction of research-oriented hospitals to accumulate experience and explore the path.
a series of policy combinations, to promote the construction of research-oriented hospitals in order to promote the construction of research-based hospitals, the Implementation Plan issued a series of policy measures.
Including the implementation of the scientific research project leader responsible system, medical and health institutions will be scientific research project expenditure, scientific research team formation (including employment), scientific research performance distribution and scientific and technological resources control and other management authority to the project leader, by the project leader within the scope of the scientific research project contract in accordance with the law.
person in charge of major scientific and technological projects at the national level and in the city, may arrange for the members of the project team to engage in scientific research full-time as necessary.
under the premise of ensuring the completion of their own work, after my application and the consent of the medical and health institutions, the person in charge of scientific research projects may go to the enterprise part-time to engage in the transformation activities of scientific and technological achievements related to the invention of his or her position.
Medical and health institutions to the National Medical Center, the National Clinical Medical Research Center, the National Key Specialties and Key Disciplines, the National Key Laboratory departments of the technical leaders of the city, the national and global open recruitment, to set up scientific research posts to recruit full-time scientific research personnel, gradually increase the proportion of researchers, to form a support for key departments and professional sustainable innovation and development of research force.
deepen the reform of the title system.
to carry out job title self-assessment in mature medical and health institutions or key specialties (specialties).
science and technology innovation, achievement transformation and personnel training as the three-level public hospital performance evaluation of the important content.
In the performance evaluation of municipal hospitals, the weight of science and technology innovation-related indicators will be increased from 12% to 15%, and in 2022 to about 20%, the same weight as medical function evaluation indicators, explore the establishment of a special performance appraisal system for scientific and technological innovation, and gradually take the output of innovation results as the core content of scientific and technological evaluation.
support medical and health institutions to link the results of scientific and technological innovation performance evaluation with the distribution of personnel compensation, the recommendation of senior job evaluation and the evaluation of middle-level cadres.
for medical and health institutions and members in the Beijing area, support the establishment of science and technology awards such as the Beijing Society of Preventive Medicine and the Beijing Physicians Association, and support the Beijing Medical Association to continue to host the Beijing Medical Science and Technology Award.
municipal incentives are provided to units and individuals who create new technologies, methods, programmes or make outstanding contributions to major scientific and technological problems in disease prevention and public health research.
Facing the world's scientific and technological frontiers, major economic battlefields, major national needs and people's life and health, we strongly support medical and health institutions to actively bid for major scientific and technological and health projects such as national key laboratories, national clinical research centers, national medical centers, national engineering and technology centers, and national transformational medical centers, and actively strive for national scientific and technological innovation major projects, key research and development plans, and national scientific and technological projects such as the National Natural Science Foundation.
In view of the difficulty of listing medical and health institutions, difficult access to medical insurance, quality is not uniform, we should study and build a public platform for the production of pharmaceutical preparations in hospitals, and speed up the transformation and application of innovative pharmaceutical products such as "star medicine" popular with the masses.
establish a hospital preparation commissioned processing, hospital preparation results transformation and other hospital enterprises supply and demand docking mechanism, to promote medical and health institutions, scientific research institutions and pharmaceutical enterprises between the "one-to-one" cooperation.
Increase special investment in the industry to support the development of new outbreaks of infectious diseases pathogen identification and diagnostic treatment and control norms (guidelines) research, major disease prevention and control intervention programs and infectious disease epidemiological early warning and prediction model research, innovative medical device development, rare diseases, anti-tumor drugs and stem cells and other new technologies and new product research and development, leading to innovation results priority in the city's transformation and application, in the field of health and health "card neck" to form a key core technology and solutions with independent intellectual property rights.
to establish a multi-input mechanism to support the capital's health development research and research projects and medical and health institutions through joint funding with pharmaceutical enterprises, venture capital institutions, social donations and public welfare funds and other parties to broaden funding channels, increase investment in scientific and technological innovation.
-level hospitals in The city shall establish special funds for scientific and technological innovation in hospitals in accordance with not less than 2% of annual medical income for innovative activities such as professional construction, innovation team training, project research, achievement transformation and scientific and technological awards.
districts focus on the construction and development of 2-3 public health and clinical specialties.
strengthen the main responsibility of the institution.
medical and health institutions are the main body of medical science and technology innovation, the Party and government are mainly responsible for comrades are the first responsible person for scientific and technological innovation work, by the main responsible comrades in charge of scientific and technological innovation work.
the development of medical information sharing is the key "implementation plan" to "promote the development and utilization of information resources" as the focus, one is to strengthen the digital construction of information technology, promote medical equipment, hospital information systems, medical imaging and communication systems, telemedicology systems and office systems of the digital process, and gradually patient diagnosis and health information, health economic information and hospital management information for effective integration.
is to promote the sharing of electronic medical records and images.
designed the Beijing Health Cloud to realize the sharing of electronic medical records, test results, community health files, prescription information and electronic medical images, as well as other information interconnections between medical and health institutions.
is to encourage and guide the construction of Internet hospitals and smart hospitals.
Vigorously develop medical artificial intelligence technology, information network technology, biomedicine technology, promote cloud computing, Internet of Things, big data, mobile Internet applications, through the overall promotion of the government, with medical institutions as the main body, with enterprise technology as the support, the establishment of the Beijing Internet medical services regulatory platform, the formation of "1 Internet medical services supervision platform , N Internet medical sub-platform and 1 Internet hospital public service platform" pattern, to support the Internet hospital platform for patients to buy medicine for medical treatment.
to develop smart medical, intelligent management and intelligent services, build smart hospital, in 2021 to start a smart hospital demonstration construction, in innovation to promote service quality improvement, management performance improvement, related industry development.
Of course, research-oriented hospitals are not a new concept, as early as 2013, Shanghai proposed that research-oriented hospitals are clinical and basic medical research closely integrated, perfect translational medical mechanism, clinical new technologies continue to emerge, difficult and serious diagnosis and treatment of technical advantages, with international visibility of modern hospitals.
should give full play to the radiation role of research hospitals, build platforms for scientific research and innovation, education and training, exchange and cooperation, knowledge services, and radiate all kinds of medical and health institutions at all levels, so as to improve the overall level of medical science and technology in the city.
means that research hospitals need to be the "trainhead" for clinical and scientific research.
21, 2013, the China Research Hospital Society was established.
as to why Beijing now proposes hospitals in four categories, perhaps on the one hand, based on Beijing's abundant medical resources, research and innovation on major topics should become the national leader and standard-bearer.
, on the other hand, perhaps because the new crown pneumonia outbreak woke us up like a thunderbolt: for scientific innovation, should never let go.