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Medical Network News, June 2Recently, the emergency inspection team of Guangdong Sun Yat-sen University and its affiliated hospital was stationed.
The inspection work is expected to continue until July, and the inspection is still in a critical stage.
The inspection work is expected to continue until July, and the inspection is still in a critical stage.
Earlier, a Shanghai tertiary hospital also encountered a sudden inspection team settled in, and just caught up with the hospital's pharmacy committee.
At the meeting, only half of the preliminary screening of more than 100 varieties was passed, and only one-tenth of the number of bills of lading was finally passed.
At the meeting, only half of the preliminary screening of more than 100 varieties was passed, and only one-tenth of the number of bills of lading was finally passed.
In fact, the above two surprise inspections are not groundless.
In November 2019, the General Office of the National Health Commission stated in the "Notice on Printing and Distributing the Inspection Work Plan for Large Hospitals (2019-2022)" that a new round of large hospitals The inspection will start in November 2019 and be completed by the end of June 2022.
In November 2019, the General Office of the National Health Commission stated in the "Notice on Printing and Distributing the Inspection Work Plan for Large Hospitals (2019-2022)" that a new round of large hospitals The inspection will start in November 2019 and be completed by the end of June 2022.
Obviously, according to the planned progress, my country is currently in the critical stage of inspection work in large hospitals.
By the end of the year, major hospitals will be at the peak of hospital inspections.
By the end of the year, major hospitals will be at the peak of hospital inspections.
Initiated inspections in many places to resolutely rectify corruption in medicine
At this stage, many places have carried out large-scale hospital inspections, and the specific arrangement of Union bacteria is as follows:
On May 10, in accordance with the unified deployment of the Xi'an Municipal Health Commission, a group of 11 people led by Liang Xiaozhen, deputy director of the Medical Administration and Medical Management Department, carried out a 4-day large-scale hospital inspection of the Xi'an Central Hospital.
The inspection team is composed of three groups: the party building team, the >
At the same time, Hainan Provincial People's Hospital held the 2021 large-scale hospital inspection and mobilization meeting.
According to the work arrangement, the Hainan Provincial Health Commission organized experts to conduct inspections on the hospital from May 10th to 18th on public hospital party building, industry >
According to the work arrangement, the Hainan Provincial Health Commission organized experts to conduct inspections on the hospital from May 10th to 18th on public hospital party building, industry >
On April 22, a group of 11 people from the large hospital inspection team of the Inner Mongolia Xing'an League Health Committee went to the Keyouqianqi People's Hospital to carry out inspections, marking the official start of the three-month inspection of large hospitals in the area.
It is understood that this round of inspections will be carried out on a total of 8 hospitals in the Xing'an League People's Hospital and 6 Qi, County and City People's Hospitals, focusing on inspections of public hospital party building, industry >
On April 16, the Henan Provincial Health Commission issued the "Detailed Rules for Inspections of Large Hospitals in Henan Province", which made clear requirements for inspections of large hospitals across the province from four aspects: inspection points, inspection content and requirements, inspection methods and inspection results: Documents and materials related to medical management, and the specific situation of on-site visits.
In addition, regarding the nine prohibitions on landing, reasonable and legal contact between medical representatives and medical personnel has become the focus of attention.
On March 24, the Fujian Health Commission issued the 2021-2022 public hospital inspection work plan, announcing the start of public hospital inspections in hospitals above the second level in the province.
The specific method of self-inspection combined with on-site inspections is adopted.
The number of inspection days per hospital is in principle No less than 7 days, including no less than 3 days for on-site inspections, of which the medical representative filing system has become the focus of inspection.
The specific method of self-inspection combined with on-site inspections is adopted.
The number of inspection days per hospital is in principle No less than 7 days, including no less than 3 days for on-site inspections, of which the medical representative filing system has become the focus of inspection.
The "Plan" clearly proposes to strengthen the supervision of high-value high-frequency medical examinations, non-indicated diagnosis and treatment, clinical trial examinations, auxiliary examinations and other items.
Formulate the management measures for the procurement and use of pharmaceutical equipment and the reception and record system of production and operation enterprises, regulate the business conduct of medical equipment production and operation enterprises and their representatives, and prohibit medical personnel from issuing commissions for purchasing and using pharmaceutical equipment in violation of regulations.
Formulate the management measures for the procurement and use of pharmaceutical equipment and the reception and record system of production and operation enterprises, regulate the business conduct of medical equipment production and operation enterprises and their representatives, and prohibit medical personnel from issuing commissions for purchasing and using pharmaceutical equipment in violation of regulations.
Judging from the specific items of the inspection work of large hospitals in various provinces, the focus of the inspection work not only includes the illegal behaviors of medical staff in medical institutions, but also focuses on the fraudulent behaviors of medical institutions, false high drug prices through sales channels, and the procurement of drugs through bidding .
The situation of bribery and bribery, it is obvious that corruption in the medical field is the top priority of this round of inspections and remediation.
The situation of bribery and bribery, it is obvious that corruption in the medical field is the top priority of this round of inspections and remediation.
Cut the chain of medicine corruption, and make purchases with a large amount to become an anti-corruption tool
On April 27, the Medical Administration and Hospital Administration of the National Health Commission announced in the "Notice on Issuing the Main Points of Correction of Unhealthy Practices in the Field of Pharmaceutical Purchase and Sales and Medical Services in 2021 ", announcing a new round of work to correct unhealthy practices in the field of medicine.
It officially started, and the 23rd meeting of the joint mechanism was held on May 6.
It was proposed to rely on the centralized procurement market for drugs and medical consumables, implement credit ratings on the drugs and consumables involved, and adopt restrictions or suspension of online and purchase, and disclose untrustworthy Information and other restraint measures.
It officially started, and the 23rd meeting of the joint mechanism was held on May 6.
It was proposed to rely on the centralized procurement market for drugs and medical consumables, implement credit ratings on the drugs and consumables involved, and adopt restrictions or suspension of online and purchase, and disclose untrustworthy Information and other restraint measures.
In the same month, the Zhejiang Pharmaceutical Equipment Procurement Center issued a notice on the evaluation results of the price of medicines and the rating of untrustworthiness in recruitment, disclosing that there was a large amount of commercial bribery in the Lugua Polypeptide Injection of a listed pharmaceutical company, and rating the company's untrustworthiness.
Is "serious", and suspend online transactions within the province.
Is "serious", and suspend online transactions within the province.
Procurement with volume, as the primary focus of medical anti-corruption, has played an important role in purifying the circulation environment and reducing falsely high drug prices.
In accordance with the price of medicines and the credit evaluation system for recruitment and procurement, more and more companies that violate the regulations will be included in the "blacklist" of medical insurance recruitment and procurement in the future.
In accordance with the price of medicines and the credit evaluation system for recruitment and procurement, more and more companies that violate the regulations will be included in the "blacklist" of medical insurance recruitment and procurement in the future.
At the same time, in response to illegal activities such as insurance fraud by medical institutions, the National Medical Insurance Bureau and other four departments have launched a special rectification action for fund supervision in 2021 in early April this year, focusing on "fake patients", "fake conditions", "fake bills", etc.
"Three fakes" fraud and insurance fraud.
"Three fakes" fraud and insurance fraud.
The "Work Points" also proposes to carry out in-depth special management of designated medical institutions to regulate the use of medical insurance funds, strictly investigate and decompose hospitalizations, stay-in-bed hospitalizations, over-diagnosis and treatment, over-examination, decomposition of prescriptions, over-prescription, repeated prescriptions, and repetitions.
Charges, over-standard charges, disaggregated project charges, collusion of drugs, induces or assists others to seek medical treatment or purchase drugs under false names or falsehoods.
Severely crack down and punish illegal use of medical insurance funds in accordance with the law.
Charges, over-standard charges, disaggregated project charges, collusion of drugs, induces or assists others to seek medical treatment or purchase drugs under false names or falsehoods.
Severely crack down and punish illegal use of medical insurance funds in accordance with the law.
Obviously, in the critical period of inspection work, the national level has demonstrated the combat mode of multi-part combination boxing.
Pharmaceutical representatives and pharmaceutical companies need to strengthen their awareness of compliance, enhance their own "immunity", and survive this period safely.
Pharmaceutical representatives and pharmaceutical companies need to strengthen their awareness of compliance, enhance their own "immunity", and survive this period safely.
(Attached: Inspection plan for hospitals in some provinces and cities )
Medical Network News, June 2 Recently, the emergency inspection team of Guangdong Sun Yat-sen University and its affiliated hospital was stationed.
The inspection work is expected to continue until July, and the inspection is still in a critical stage.
The inspection work is expected to continue until July, and the inspection is still in a critical stage.
Earlier, a Shanghai tertiary hospital also encountered a sudden inspection team settled in, and just caught up with the hospital's pharmacy committee.
At the meeting, only half of the preliminary screening of more than 100 varieties was passed, and only one-tenth of the number of bills of lading was finally passed.
At the meeting, only half of the preliminary screening of more than 100 varieties was passed, and only one-tenth of the number of bills of lading was finally passed.
In fact, the above two surprise inspections are not groundless.
In November 2019, the General Office of the National Health Commission stated in the "Notice on Printing and Distributing the Inspection Work Plan for Large Hospitals (2019-2022)" that a new round of large hospitals The inspection will start in November 2019 and be completed by the end of June 2022.
In November 2019, the General Office of the National Health Commission stated in the "Notice on Printing and Distributing the Inspection Work Plan for Large Hospitals (2019-2022)" that a new round of large hospitals The inspection will start in November 2019 and be completed by the end of June 2022.
Obviously, according to the planned progress, my country is currently in the critical stage of inspection work in large hospitals.
By the end of the year, major hospitals will be at the peak of hospital inspections.
By the end of the year, major hospitals will be at the peak of hospital inspections.
Initiated inspections in many places to resolutely rectify corruption in medicine
At this stage, many places have carried out large-scale hospital inspections, and the specific arrangement of Union bacteria is as follows:
On May 10, in accordance with the unified deployment of the Xi'an Municipal Health Commission, a group of 11 people led by Liang Xiaozhen, deputy director of the Medical Administration and Medical Management Department, carried out a 4-day large-scale hospital inspection of the Xi'an Central Hospital.
The inspection team is composed of three groups: the party building team, the >
At the same time, Hainan Provincial People's Hospital held the 2021 large-scale hospital inspection and mobilization meeting.
According to the work arrangement, the Hainan Provincial Health Commission organized experts to conduct inspections on the hospital from May 10th to 18th on public hospital party building, industry >
According to the work arrangement, the Hainan Provincial Health Commission organized experts to conduct inspections on the hospital from May 10th to 18th on public hospital party building, industry >
On April 22, a group of 11 people from the large hospital inspection team of the Inner Mongolia Xing'an League Health Committee went to the Keyouqianqi People's Hospital to carry out inspections, marking the official start of the three-month inspection of large hospitals in the area.
It is understood that this round of inspections will be carried out on a total of 8 hospitals in the Xing'an League People's Hospital and 6 Qi, County and City People's Hospitals, focusing on inspections of public hospital party building, industry >
On April 16, the Henan Provincial Health Commission issued the "Detailed Rules for Inspections of Large Hospitals in Henan Province", which made clear requirements for inspections of large hospitals across the province from four aspects: inspection points, inspection content and requirements, inspection methods and inspection results: Documents and materials related to medical management, and the specific situation of on-site visits.
In addition, regarding the nine prohibitions on landing, reasonable and legal contact between medical representatives and medical personnel has become the focus of attention.
On March 24, the Fujian Health Commission issued the 2021-2022 public hospital inspection work plan, announcing the start of public hospital inspections in hospitals above the second level in the province.
The specific method of self-inspection combined with on-site inspections is adopted.
The number of inspection days per hospital is in principle No less than 7 days, including no less than 3 days for on-site inspections, of which the medical representative filing system has become the focus of inspection.
The specific method of self-inspection combined with on-site inspections is adopted.
The number of inspection days per hospital is in principle No less than 7 days, including no less than 3 days for on-site inspections, of which the medical representative filing system has become the focus of inspection.
The "Plan" clearly proposes to strengthen the supervision of high-value high-frequency medical examinations, non-indicated diagnosis and treatment, clinical trial examinations, auxiliary examinations and other items.
Formulate the management measures for the procurement and use of pharmaceutical equipment and the reception and record system of production and operation enterprises, regulate the business conduct of medical equipment production and operation enterprises and their representatives, and prohibit medical personnel from issuing commissions for purchasing and using pharmaceutical equipment in violation of regulations.
Formulate the management measures for the procurement and use of pharmaceutical equipment and the reception and record system of production and operation enterprises, regulate the business conduct of medical equipment production and operation enterprises and their representatives, and prohibit medical personnel from issuing commissions for purchasing and using pharmaceutical equipment in violation of regulations.
Judging from the specific items of the inspection work of large hospitals in various provinces, the focus of the inspection work not only includes the illegal behaviors of medical staff in medical institutions, but also focuses on the fraudulent behaviors of medical institutions, false high drug prices through sales channels, and the procurement of drugs through bidding .
The situation of bribery and bribery, it is obvious that corruption in the medical field is the top priority of this round of inspections and remediation.
The situation of bribery and bribery, it is obvious that corruption in the medical field is the top priority of this round of inspections and remediation.
Cut the chain of medicine corruption, and make purchases with a large amount to become an anti-corruption tool
On April 27, the Medical Administration and Hospital Administration of the National Health Commission announced in the "Notice on Issuing the Main Points of Correction of Unhealthy Practices in the Field of Pharmaceutical Purchase and Sales and Medical Services in 2021 ", announcing a new round of work to correct unhealthy practices in the field of medicine.
It officially started, and the 23rd meeting of the joint mechanism was held on May 6.
It was proposed to rely on the centralized procurement market for drugs and medical consumables, implement credit ratings on the drugs and consumables involved, and adopt restrictions or suspension of online and purchase, and disclose untrustworthy Information and other restraint measures.
It officially started, and the 23rd meeting of the joint mechanism was held on May 6.
It was proposed to rely on the centralized procurement market for drugs and medical consumables, implement credit ratings on the drugs and consumables involved, and adopt restrictions or suspension of online and purchase, and disclose untrustworthy Information and other restraint measures.
In the same month, the Zhejiang Pharmaceutical Equipment Procurement Center issued a notice on the evaluation results of the price of medicines and the rating of untrustworthiness in recruitment, disclosing that there was a large amount of commercial bribery in the Lugua Polypeptide Injection of a listed pharmaceutical company, and rating the company's untrustworthiness.
Is "serious", and suspend online transactions within the province.
Is "serious", and suspend online transactions within the province.
Procurement with volume, as the primary focus of medical anti-corruption, has played an important role in purifying the circulation environment and reducing falsely high drug prices.
In accordance with the price of medicines and the credit evaluation system for recruitment and procurement, more and more companies that violate the regulations will be included in the "blacklist" of medical insurance recruitment and procurement in the future.
In accordance with the price of medicines and the credit evaluation system for recruitment and procurement, more and more companies that violate the regulations will be included in the "blacklist" of medical insurance recruitment and procurement in the future.
At the same time, in response to illegal activities such as insurance fraud by medical institutions, the National Medical Insurance Bureau and other four departments have launched a special rectification action for fund supervision in 2021 in early April this year, focusing on "fake patients", "fake conditions", "fake bills", etc.
"Three fakes" fraud and insurance fraud.
"Three fakes" fraud and insurance fraud.
The "Work Points" also proposes to carry out in-depth special management of designated medical institutions to regulate the use of medical insurance funds, strictly investigate and decompose hospitalizations, stay-in-bed hospitalizations, over-diagnosis and treatment, over-examination, decomposition of prescriptions, over-prescription, repeated prescriptions, and repetitions.
Charges, over-standard charges, disaggregated project charges, collusion of drugs, induces or assists others to seek medical treatment or purchase drugs under false names or falsehoods.
Severely crack down and punish illegal use of medical insurance funds in accordance with the law.
Charges, over-standard charges, disaggregated project charges, collusion of drugs, induces or assists others to seek medical treatment or purchase drugs under false names or falsehoods.
Severely crack down and punish illegal use of medical insurance funds in accordance with the law.
Obviously, in the critical period of inspection work, the national level has demonstrated the combat mode of multi-part combination boxing.
Pharmaceutical representatives and pharmaceutical companies need to strengthen their awareness of compliance, enhance their own "immunity", and survive this period safely.
Pharmaceutical representatives and pharmaceutical companies need to strengthen their awareness of compliance, enhance their own "immunity", and survive this period safely.
(Attached: Inspection plan for hospitals in some provinces and cities )
Medical Network News, June 2 Recently, the emergency inspection team of Guangdong Sun Yat-sen University and its affiliated hospital was stationed.
The inspection work is expected to continue until July, and the inspection is still in a critical stage.
The inspection work is expected to continue until July, and the inspection is still in a critical stage.
Earlier, a Shanghai tertiary hospital also encountered a sudden inspection team settled in, and just caught up with the hospital's pharmacy committee.
At the meeting, only half of the preliminary screening of more than 100 varieties was passed, and only one-tenth of the number of bills of lading was finally passed.
At the meeting, only half of the preliminary screening of more than 100 varieties was passed, and only one-tenth of the number of bills of lading was finally passed.
In fact, the above two surprise inspections are not groundless.
In November 2019, the General Office of the National Health Commission stated in the "Notice on Printing and Distributing the Inspection Work Plan for Large Hospitals (2019-2022)" that a new round of large hospitals The inspection will start in November 2019 and be completed by the end of June 2022.
In November 2019, the General Office of the National Health Commission stated in the "Notice on Printing and Distributing the Inspection Work Plan for Large Hospitals (2019-2022)" that a new round of large hospitals The inspection will start in November 2019 and be completed by the end of June 2022.
Obviously, according to the planned progress, my country is currently in the critical stage of inspection work in large hospitals.
By the end of the year, major hospitals will be at the peak of hospital inspections.
By the end of the year, major hospitals will be at the peak of hospital inspections.
Initiated inspections in many places to resolutely rectify corruption in medicine
Initiated inspections in many places to resolutely rectify corruption in medicine At this stage, many places have carried out large-scale hospital inspections, and the specific arrangement of Union bacteria is as follows:
On May 10, in accordance with the unified deployment of the Xi'an Municipal Health Commission, a group of 11 people led by Liang Xiaozhen, deputy director of the Medical Administration and Medical Management Department, carried out a 4-day large-scale hospital inspection of the Xi'an Central Hospital.
The inspection team is composed of three groups: the party building team, the >
At the same time, Hainan Provincial People's Hospital held the 2021 large-scale hospital inspection and mobilization meeting.
According to the work arrangement, the Hainan Provincial Health Commission organized experts to conduct inspections on the hospital from May 10th to 18th on public hospital party building, industry >
According to the work arrangement, the Hainan Provincial Health Commission organized experts to conduct inspections on the hospital from May 10th to 18th on public hospital party building, industry >
On April 22, a group of 11 people from the large hospital inspection team of the Inner Mongolia Xing'an League Health Committee went to the Keyouqianqi People's Hospital to carry out inspections, marking the official start of the three-month inspection of large hospitals in the area.
It is understood that this round of inspections will be carried out on a total of 8 hospitals in the Xing'an League People's Hospital and 6 Qi, County and City People's Hospitals, focusing on inspections of public hospital party building, industry >
On April 16, the Henan Provincial Health Commission issued the "Detailed Rules for Inspections of Large Hospitals in Henan Province", which made clear requirements for inspections of large hospitals across the province from four aspects: inspection points, inspection content and requirements, inspection methods and inspection results: Documents and materials related to medical management, and the specific situation of on-site visits.
In addition, regarding the nine prohibitions on landing, reasonable and legal contact between medical representatives and medical personnel has become the focus of attention.
On March 24, the Fujian Health Commission issued the 2021-2022 public hospital inspection work plan, announcing the start of public hospital inspections in hospitals above the second level in the province.
The specific method of self-inspection combined with on-site inspections is adopted.
The number of inspection days per hospital is in principle No less than 7 days, including no less than 3 days for on-site inspections, of which the medical representative filing system has become the focus of inspection.
The specific method of self-inspection combined with on-site inspections is adopted.
The number of inspection days per hospital is in principle No less than 7 days, including no less than 3 days for on-site inspections, of which the medical representative filing system has become the focus of inspection.
The "Plan" clearly proposes to strengthen the supervision of high-value high-frequency medical examinations, non-indicated diagnosis and treatment, clinical trial examinations, auxiliary examinations and other items.
Formulate the management measures for the procurement and use of pharmaceutical equipment and the reception and record system of production and operation enterprises, regulate the business conduct of medical equipment production and operation enterprises and their representatives, and prohibit medical personnel from issuing commissions for purchasing and using pharmaceutical equipment in violation of regulations.
Formulate the management measures for the procurement and use of pharmaceutical equipment and the reception and record system of production and operation enterprises, regulate the business conduct of medical equipment production and operation enterprises and their representatives, and prohibit medical personnel from issuing commissions for purchasing and using pharmaceutical equipment in violation of regulations.
Judging from the specific items of the inspection work of large hospitals in various provinces, the focus of the inspection work not only includes the illegal behaviors of medical staff in medical institutions, but also focuses on the fraudulent behaviors of medical institutions, false high drug prices through sales channels, and the procurement of drugs through bidding .
The situation of bribery and bribery, it is obvious that corruption in the medical field is the top priority of this round of inspections and remediation.
Drug tender Drugs and Drug tender tenderThe situation of bribery and bribery, it is obvious that corruption in the medical field is the top priority of this round of inspections and remediation.
Cut the chain of medicine corruption, and make purchases with a large amount to become an anti-corruption tool
On April 27, the Medical Administration and Hospital Administration of the National Health Commission announced in the "Notice on Issuing the Main Points of Correction of Unhealthy Practices in the Field of Pharmaceutical Purchase and Sales and Medical Services in 2021 ", announcing a new round of work to correct unhealthy practices in the field of medicine.
It officially started, and the 23rd meeting of the joint mechanism was held on May 6.
It was proposed to rely on the centralized procurement market for drugs and medical consumables, implement credit ratings on the drugs and consumables involved, and adopt restrictions or suspension of online and purchase, and disclose untrustworthy Information and other restraint measures.
Medicine Medicine MedicineIt officially started, and the 23rd meeting of the joint mechanism was held on May 6.
It was proposed to rely on the centralized procurement market for drugs and medical consumables, implement credit ratings on the drugs and consumables involved, and adopt restrictions or suspension of online and purchase, and disclose untrustworthy Information and other restraint measures.
In the same month, the Zhejiang Pharmaceutical Equipment Procurement Center issued a notice on the evaluation results of the price of medicines and the rating of untrustworthiness in recruitment, disclosing that there was a large amount of commercial bribery in the Lugua Polypeptide Injection of a listed pharmaceutical company, and rating the company's untrustworthiness.
Is "serious", and suspend online transactions within the province.
Enterprise business enterpriseIs "serious", and suspend online transactions within the province.
Procurement with volume, as the primary focus of medical anti-corruption, has played an important role in purifying the circulation environment and reducing falsely high drug prices.
In accordance with the price of medicines and the credit evaluation system for recruitment and procurement, more and more companies that violate the regulations will be included in the "blacklist" of medical insurance recruitment and procurement in the future.
In accordance with the price of medicines and the credit evaluation system for recruitment and procurement, more and more companies that violate the regulations will be included in the "blacklist" of medical insurance recruitment and procurement in the future.
At the same time, in response to illegal activities such as insurance fraud by medical institutions, the National Medical Insurance Bureau and other four departments have launched a special rectification action for fund supervision in 2021 in early April this year, focusing on "fake patients", "fake conditions", "fake bills", etc.
"Three fakes" fraud and insurance fraud.
"Three fakes" fraud and insurance fraud.
The "Work Points" also proposes to carry out in-depth special management of designated medical institutions to regulate the use of medical insurance funds, strictly investigate and decompose hospitalizations, stay-in-bed hospitalizations, over-diagnosis and treatment, over-examination, decomposition of prescriptions, over-prescription, repeated prescriptions, and repetitions.
Charges, over-standard charges, disaggregated project charges, collusion of drugs, induces or assists others to seek medical treatment or purchase drugs under false names or falsehoods.
Severely crack down and punish illegal use of medical insurance funds in accordance with the law.
Charges, over-standard charges, disaggregated project charges, collusion of drugs, induces or assists others to seek medical treatment or purchase drugs under false names or falsehoods.
Severely crack down and punish illegal use of medical insurance funds in accordance with the law.
Obviously, in the critical period of inspection work, the national level has demonstrated the combat mode of multi-part combination boxing.
Pharmaceutical representatives and pharmaceutical companies need to strengthen their awareness of compliance, enhance their own "immunity", and survive this period safely.
Pharmaceutical representatives and pharmaceutical companies need to strengthen their awareness of compliance, enhance their own "immunity", and survive this period safely.
(Attached: Inspection plan for hospitals in some provinces and cities )
(Attachment: provincial hospital hospital hospital inspection plan) 
