Medical network on March 23 - March 22 afternoon, the Beijing municipal people's government officially released "medicine separate comprehensive reform plan" (hereinafter referred to as the "scheme"). From April 8, all public medical institutions will implement new policies in Beijing.
More than 3600 medical institutions to reform
Reform scope including Beijing city government, public institutions and state-owned enterprises hold the public medical institutions and the people's liberation army, the armed police force medical institutions in Beijing.
Government purchase services social do medical institutions, urban and rural basic medical insurance fixed-point social do medical institutions, may voluntarily apply for to participate in the reform.
According to the Beijing city two levels of departments organized verification and validation, participate in the reform of the medical institution is more than 3600.
Previously, since 2012, Beijing friendship hospital, chaoyang hospital, tongren hospital, tiantan hospital, jishuitan hospital five city tertiary hospital, the first batch of pilot medical separately.
From 2014 to 2015, yanqing, miyun and six belongs to secondary hospital, one after another to join medical pilot separately.
From the hospital that the few pilot, one-time closer to the city this year 3600 all medical institutions to reform, Beijing's action to big.
Many blockbuster reform involving YiXie industry
"Plan" put forward to cancel the registration fee, set up the medical service, strengthening the cost and cost control, improve the system of grading diagnosis, establish fiscal classification compensation mechanism, we will intensify reform health care security and payment, etc.
Among these associated with medical devices industry larger:
1, the sunlight procurement + health insurance fee, equipment prices artificially high
In the proposed scheme, several big reform goals, one is: through the pharmaceutical products procurement sunshine, health control measures such as cost, reduce the drugs, devices and consumables such as artificially high prices and costs.
Among them, for medical consumables is to promote the joint procurement of the beijing-tianjin-hebei region, further reduce the material price.
Up last year, the Beijing and tianjin, hebei province in the beijing-tianjin-hebei medical consumables joint procurement alliance, and the first two categories, the bleeding and antiblocking consumables cross-regional joint procurement work, has been launched earlier this year. Consumables produced in the first phase of construction joint procurement platform have been completed.
As for the insurance fee, the plan is put forward, to increase the medical insurance payment reform, pushing the total budget management, medical insurance fund and pay according to macro-reforms, according to the man's head, DRGs pay, pay by bed day reform, gradually reduce pay according to the project.
2, the large equipment inspection, 185 projects reduce the price
On the medical services price adjustment, the reform has chosen the five types of specifications 435 projects.
Among them, the price increase of four class 250 items, including: a comprehensive medical service class (beds, nursing, etc.) 125, accounting for 28.7%; Medical service class of traditional Chinese medicine, acupuncture, massage, etc.), 96, accounting for 22.1%; Clinical surgery (appendectomy, etc.), 26 classes and clinical physical therapy (radiation, etc.) 3, accounted for 6.7%.
Falling prices have 1 class 185 items, mainly for large equipment such as CT, mri examination project price, accounted for 42.5%. Specifically:
Head CT, down from 180 yuan to 180 yuan.
Nuclear magnetic reduced to 400 from 850 yuan - 600 yuan;
PET/CT, down from 10000 yuan to 7000 yuan.
Part of the project price adjustment
Official interpretation, according to the medical institutions of Beijing 2015 medical services revenue, inspection, testing and health material income accounted for 66%, while inspecting, surgery, treatment, care and so on project income accounts for only 34%, large equipment inspection, testing, inspection and other hard material consumptions project price is on the high side, and soft services such as medical personnel technical services price is rather on the low side.
Therefore, the reform of "a liter of a drop", change the hospital in the past mainly by selling drugs, both with the channel such as consumables, big check, more tests to earn profits, ensuring the operation of the compensation mechanism, arouse the enthusiasm of doctors to improve the medical service level.
3, strengthening the management of large equipment purchase
For large medical equipment, the scheme is also proposed, to strengthen the feasibility of large equipment purchase, improve the use benefit of medical equipment.
How to make feasibility in large equipment purchase?
As one of the first five pilot hospital, Beijing tiantan hospital is done:
Argument at the early stages of the large equipment link, led by the application department in charge of, on the basis of full investigation and research, scheme comparison write feasibility report. Medical equipment project budget for the use of consumables, must be in accordance with the principle of material access and sufficient demonstration process, if the material does not conform to the requirements, equipment application shall not be set up. In the installation of the equipment, warehousing link, the joint inspection system for a three-level-government is implemented in medical equipment used by material management department, medical devices, department jointly signed "installation acceptance report", as the basis of purchasing boot device and settlement.
Start with an equipment project to demonstrate, procurement, behind to the installation, use and performance evaluation, and maintenance, until the whole process of equipment shall be reported to the residual, the refinement management of the temple of heaven hospital throughout the whole life cycle of medical equipment.
In addition, issued by the Beijing earlier this month on the opinion "to promote the development of health and health care reform have also been put forward, to strengthen cost accounting and control, it is forbidden to borrow in the public hospital, borrowing the purchase of large medical equipment.
4, consumption of slope to less than 20%
"Plan" put forward by the reform, by the end of 2017, is an unit with administrative region, public hospital medicine proportion (excluding Chinese medicine yinpian) strive for to around 30%, one hundred yuan of medical income (excluding drug income) of health material consumption has dropped below $20; By 2020 the above indicators are further optimized, public hospital medical expenses growth stable at a reasonable level.
5, control of high value not reasonable use of consumables
For high value medical consumables, is put forward, "the plan" is to use information technology means, more early warning and analysis of the anomaly, the high medical costs, control of high value medical consumables not reasonable use.
Control of high-value consumables used, and the purchase of large equipment control together, become a public hospital "strengthening cost and cost control" part of the outstanding requirements.
Public hospital charged fees listed in the "solution" measures"
How to reduce the material cost?
One of the first pilot medical separate 5 hospitals of jishuitan hospital practice or be promoted.
The hospital in order to strengthen the high-value consumables management, extraction of the experts in each department director level above professional committee, after the committee after the adoption of high-value consumables, ability in clinical use. Also on existing high-value consumables and brand out, reducing the varieties of the same material, standard material used, as well as to the use cases of high-value consumables spot check, etc.
6, beijing-tianjin-hebei mutual recognition of test results
"The plan" put forward, to improve the medical service, and promote medical institutions beijing-tianjin-hebei, Hong Kong and mutual recognition of test results.
In October last year, three clinical medical institutions recognition has begun pilot test results, the first batch of a total of 27 mutual recognition of projects, including 19 biochemistry project, three immune and 5 blood cell analysis projects. Included in the first batch of pilot 37 69 medical institutions including Beijing, tianjin and hebei 26 three-level medical institutions and medical examination.
In January of this year, three medical institutions of medical imaging data sharing pilot start again. The first pilot of 102 included in medical institutions.
It is reported that this year, the mutual recognition of beijing-tianjin-hebei will continue to advance the inspection results sharing, and explore establishing regional medical imaging and inspection center. |
