Shanghai Second General Hospital has reviewed the new standard!

The author, Xu Weicai, recently organized and issued the Shanghai Secondary A General Hospital Evaluation Standard (2020 edition) and the Shanghai Level II B General Hospital Evaluation Standard (2020 edition).
from the standard design quite Shanghai characteristics, but also have a sense of the times.
do you say that? According to the score how much to score A, B and so on is the hospital grade review generally on the same level such as second or third-level hospitals do not class A, B, etc. to develop two standards, but in accordance with a unified standard score, and then according to how much to score A, B, etc., and Shanghai this time on the second-level A and Second-level B and so on have formulated the evaluation standards, and second, although A and B have formulated different standards, but the large framework is the same, the evaluation criteria are divided into four categories, the first category is the basic standard, evaluation of hospital public welfare, practice according to law and the implementation of medical reform requirements and other content, a total of 20, the hospital to be evaluated should be adopted article by article.
this category of standards two A and two B must be met, one can not reach can not participate in the evaluation.
the second category as the admission criteria, evaluation of hospital operation, medical service capacity, personnel structure, key disciplines and talent echelons, scientific research and teaching ability and other content.
Although the total requirements of the second A, two B is the same, but the specific content gap is very large, fully reflects the grade difference, the second A requirements 12 items, including the approved number of beds≥350 to get a full score of 5 points, the main department (internal medicine and surgery) beds accounted for the total number of beds in the hospital≥ ≥60% get a full score of 10 points, bed uity rate≥90% get a full score of 10 points, discharged patients average hospital bed days≤ 10 days get a full score of 10 points, annual emergency number: open bed days≥3.0:1 get a full score of 1 0 points, case combination index (CMI≥ 0.78 score 5 out of 10 , health staffing ratio of 10 points (total number of hospital health personnel: 1.26 approved bed number of 5 points≥ total number of nursing staff: open bed number ≥0 .6:1 with a score of 5), clinical medical technology department director title staffing and senior title physician ratio of 9 points (clinical first-level department director senior title ratio of 100% to get 3 points≥ The proportion of senior title of the director of the medical and technical department ≥70% get 3 points), the proportion of the senior title of the doctor in the clinical medical department ≥20% get 3 points, the proportion of doctors with master's degree or above≥ 20% get 4 points, the proportion of nursing staff above college≥60 % get a full score of 4 points, key science (specialty) department and medical education requires the municipal medical key specialty 1 or more to get a full score of 4 points, scientific research papers, projects and achievements in the last 5 years to obtain the number of scientific research projects (the first person in charge of the unit) municipal and ministerial scientific research projects≥
score of 100 points, the second-tier qualifying line is 85 points.
Ii B has 10 items, one is the number of approved beds≥ 100 full score 10 points, the second is bed uity rate≥85% get full score 10 points, the third is the average number of days discharged from hospital≤ Health staffing ratio of 12 points, of which, the total number of hospital health personnel: open bed number ≥1.2:1 to 6 points, the total number of hospital nursing staff: open bed number ≥0.6:1 to get 6 points, five is the clinical first-level department director senior title ratio≥ 80% get a full score of 8 points, six is the proportion of senior title of physicians≥ 20% get a full score of 8 points, seven is the medical staff education composition of 16 points, of which the proportion of undergraduate doctors or above ≥70% get 8 points, the proportion of nursing staff above college≥40% get 8 points, eight is clinical and Medical and technical department set 14 points, of which the clinical department: emergency medicine, internal medicine, surgery, obstetrics and gynecology, pediatrics, anesthesiology, Chinese medicine, ophthalmology, otolaryngology, oral medicine, infectious diseases (approved by the health administrative department can not be set up), rehabilitation department selected, (ophthalmology, otolaryngology, Oral department can only set up outpatient clinics, can also be combined with five official departments) to get 8 points, medical technology department: pharmacy, medical imaging (including radiation and ultrasound), examination, pathology must be set up, nutrition (room), functional examination department (room) selection, get 6 points Nine is the key science (special) department and medical education 4 points, district-level medical key science (specialty) department 1 2 points, municipal medical key science (special) department 1 or more plus 2 points, medical education 2 points, ten is scientific research papers, projects and results 8 points.
is divided into 100 points, secondary B and other general hospital admission standards pass line of 80 points.
≤ It is worth noting that there is an indicator, one is the number of beds, two A than two B is much more, that is, the scale of two A is significantly greater than two B≤;
the third category of management standards, evaluation of hospital quality, safety, service, management and other content.
consists of seven chapters: Hospital Functions and Tasks, Hospital Services, Patient Safety, Medical Quality and Safety Management and Continuous Improvement, Care Management and Quality Continuous Improvement, Hospital Management and Hospital Management Statistics.
chapter i to chapter VI, a total of 67 sections 253 433 paragraphs, for hospital on-site evaluation.
On-site evaluation is expressed in the form of "ABCDE", with A as excellent, B as good, C as qualified, D as unqualified, and E as not applicable (i.e., items not approved by the health administration according to the functional tasks of the hospital or items agreed not to be set).
the principle of evaluation: all those who meet the requirements of C-level can be evaluated in B-grade, and all those who meet the requirements of B-level can only be evaluated at level A.
eligibility requirements: 80% ≥ C, 50% ≥ B, 15% ≥ A.
Chapter VII, a total of 7 sections, for the hospital management statistical indicators, the use of hospital reporting and data review methods, for the hospital management-related indicators of monitoring and tracking evaluation.
the fourth category as the technical standard, using the "specialist ability evaluation" method to assess the hospital's medical service capacity.
score is 150 points and the passing line is 127.5 points (85 points per percentage).
specific evaluation methods can be found in the "Evaluation Methodology Description" of the technical standards.
the basis of the adoption of basic standards, the second, third and fourth categories of standards are passed by the second-class A general hospital qualified requirements of the hospital can be rated as second-class A general hospital.
for the third category, the fourth category of evaluation criteria, A and B, etc. on the gap is even greater.
The second-level hospital must do 20 standards, said the Shanghai 2020 version of the second-level hospital evaluation standards, a sense of the times, mainly reflected in the standards will be "the current focus of medical and health work, hospital management and health policy guidance" into all.
e.g. in the most important first class of basic standards, regardless of A or B, secondary hospitals must do 20 standards, that is, the standard requirements of the "assessed hospitals should be adopted article by article", we see what? The first is the scope of services, which requires the region to be the main focus, to undertake a certain number of peripheral area medical tasks.
The second item is the function of the hospital, which requires the task of diagnosis and treatment of common and frequent diseases, and has a certain capacity for diagnosis and treatment of critical and difficult diseases, taking into account prevention, health care and rehabilitation services.
the third item is scale and setting, which requires compliance with the standards of secondary general hospitals required by the Regulations on the Administration of Medical Institutions, the Basic Standards of Medical Institutions (Trial) and the Guidelines for the Planning of Medical Institutions (2009).
fourth item is that the Party building work requires the quality evaluation results of the Party building work in public hospitals to be above the "general" level.
the fifth hospital public welfare, put forward eight requirements, one is the implementation of the national basic drug system, in accordance with the relevant provisions of the State priority use of basic drugs, the full realization of the drug zero-plus.
is to participate in the medical emergency treatment system, to complete the emergency medical rescue mission of public emergencies.
is to undertake the public health tasks designated by the administrative departments of health at the district level and above.
fourth is to actively participate in the implementation of the graded diagnosis and treatment policy, to participate in the construction of medical associations.
is to implement government directives and undertake the tasks of East-West poverty alleviation collaboration, counterpart support and foreign aid or international emergency medical treatment.
is to actively implement various fee control measures, strictly control the unreasonable increase in medical costs.
is the implementation of two-way referral within the framework of the national medical insurance system.
8th was a higher satisfaction rate in a random sample of social evaluations, and the patient satisfaction rate assessed by third parties in the previous year ≥ 85%.
the sixth item is practicing according to law, but also put forward eight requirements, one is the annual check pass, no suspension check situation.
no public hospital performance assessment is not qualified.
is to provide services to the community of medical subjects consistent with the license to practice, there is no external rental, contracting departments or equipment and other circumstances.
third, no major violations of the practice of health technicians, the configuration and use of large-scale medical equipment or the application of medical technology, the non-false medical advertising, and the issuance of false medical documents that are not part of the organization's behavior.
is no major violation of the charges.
5 is the act of soliciting, illegally accepting the patient's property or obtaining other improper benefits without using his position, and causing significant social impact.
is no reason for violating the provisions of the city's medical security department to suspend the fixed-point hospital medical insurance settlement relationship or cancel the fixed-point eligibility of medical insurance.
is the implementation of patient safety objectives, no fire, radiation leakage, hospital infections and other major safety incidents notified or punished.
8 is the act of failing to have a level A medical accident or failing to report or underreport a major medical negligence incident.
is not every one of them required by current policy? Feel the heat wave rolling a little hot!