A large number of public hospitals will be assessed, drug costs growth is the focus of indicators

Medical Network July 6th - A large number of public hospitals will be assessed, drug fee growth is the focus of the indicators
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, 106public hospitals newly included in the assessmentJuly 3, Sichuan Health and Health Commission issued "on the launch of the 2020 second and third-level public hospital performance appraisal related work notice" (hereinafter referred to as "Notice")according to the Notice, the, six new tertiary hospitals in Sichuan and 100 secondary hospitals have been added to the public hospital performance appraisal list"Notice" requirements, the relevant hospitals in accordance with the specific requirements of the national public hospital performance appraisal operation manual, on time to log on to the public hospital performance appraisal management platform, online fill in the relevant data and supporting data, and by the hospital legal person after examination and confirmationAmong them, the tertiary hospital shall complete the formal filing of the data from January 4-18, 2021, and the level 2 hospital shall complete the formal filing of the data from March 1 to 19, 2021 (except for special instructions, the annual statistical time of quantitative indicators shall be from January 1 to December 31 of the year)In addition, level 3 hospitals that have participated in the 2019 performance appraisal will upload the first home page data for hospitals from January to August 2020 to the National Hospital Quality Monitoring System from 16 August to 15 September 2020 in accordance with the above requirements; The new level 2 and 3 public hospitals shall upload to the National Hospital Quality Monitoring System from August 16 to September 15, 2020The level 2 hospitals that have participated in the 2019 performance appraisal will upload the home page data for the 2017-2019 case to the National Hospital Quality Monitoring System from July 1 to August 15, 2020, and the first-page hospital admission data from January to August 15, 2020 to the National Hospital Quality Monitoring System, as required by the original time nodeFrom October 2020, all hospitals will complete the upload of data on the first page of the previous month's hospitalization by 15 thinly a monthSichuan Health and Health Commission in the "notice" at the end of the note also pointed out that will urge the jurisdiction of poor work, progress lag of public medical hospitals timely rectification, will also work lag in the city (state), hospitals to inform criticism of the province, the upload of the first page of the case data distortion and the assessment process there are fabrications, false positives, false reports, false reports and other irregularities of the hospital, will take inspection-type assessment, cancel the hospital's annual assessment qualification and other ways to seriously pursue responsibility2, public hospital assessment, will form a three-level normalization mechanism
according to The saiber blue observation, in addition to Sichuan, Shanghai also issued on May 21 this year for the second-level public hospitalperformance assessment program, according to the program, Shanghai has 45 public hospitals will participate in the National Health and Care Commission secondary public hospital performance appraisal 　　In fact, since the National Health and Care Commission issued a notice for the performance appraisal of second- and third-level public hospitals, the assessment of second- and third-level public hospitals has been nationwide, has gradually become a normal work 　　According to the relevant notice issued by the National Health and Care Commission, the assessment of the second and third level public hospitals is divided into three levels: hospital self-examination, provincial annual assessment, and national monitoring and analysis 　　For the three-level public hospitals, the Opinions of the General Office of the State Council on Strengthening the Performance Evaluation of The Three-Level Public Hospitals require that, starting from 2020, the annual provincial assessment work be completed by the end of February each year and the work of national monitoring and analysis by the end of March 　　For secondary public hospitals, self-assessment of hospitals will be completed by the end of March each year from 2021 From 2021, the provincial annual assessment will be completed by the end of June It is worth noting that, prior to this, the provinces will need to complete the performance appraisal of the second-level public hospitals in their jurisdictions by the end of December 2020, as they are actually in practice, and submit them to the National Health and Care Commission The National Health and Care Commission will complete the analysis of national monitoring indicators for the year 2019 by the end of November 2020 Starting in 2021, the analysis of national monitoring indicators for the previous year will be completed by the end of May each year 　　According to the requirements of the National Health and Care Commission, the assessment of the second and third level public hospitals mainly includes four dimensions: medical quality, operational efficiency, sustainable development and satisfaction evaluation 　　Among the specific assessment indicators, there are several indicators directly related to the use of drugs in public hospitals For example, the National Health and Care Commission issued the "National Three-level Public Hospital Performance Review Operation Manual (2019 Edition)" on: the number of down-to-the-patient (door emergency, hospitalization) gradually increased; s) gradually reduce; the proportion of prescriptions for essential
drugs for outpatients gradually increased, the proportion of drugs purchased
centralized the centralized of state
organizations, the proportion of auxiliary drug revenue monitoring and comparison, the gradual decrease in the increase in the cost of outpatient drugs, and the gradual decrease in the increase in the cost of the hospital-to-hospital secondary drug 　　The same is true of "grade 2 public hospitals performance appraisal indicators (trial) 3
, promote the clinical use of public hospitals tend to be reasonable
up to now, for the performance appraisal of three-level public hospitals, has a year of data, and achieved preliminary results 　　Recently, the National Health and Care Commission issued "on the 2018 national three-level public hospital performance appraisal of the national monitoring and analysis of the relevant information circular." 　　According to the report, by the end of 2018, there were 2,398 tertiary public hospitals (of which 1,289 were general hospitals, 576 were specialized hospitals, 533 were Chinese medicine hospitals) to participate in the 2018 performance appraisal 　　According to the notice of the National Health and Care Commission, as more public hospitals in hardware and software equipment to meet the relevant requirements for inclusion in the assessment, the number of public hospitals will be assessed will gradually increase 　　According to the report, in the process of performance appraisal of three-level public hospitals, clinical drug use in public hospitals has become more reasonable, hospital cost increasehas disainsted, the proportion of supplementary drug revenue has decreased steadily, and the construction of economy-oriented hospitals has been steadily advanced 　　For the hospitals that are not up to standard, the National Health and Health Commission has also carried out corresponding treatment - 141 tertiary hospitals to conduct collective interviews and reduce the corresponding performance appraisal scores; 　　From the above-mentioned stage work results can also be seen, with the performance appraisal work carried out and advanced, the national grade public hospital drug use will become more reasonable and optimized