Big three! Cut down the price of all consumables and cut off a large number of suppliers
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Last Update: 2019-11-14
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Source: Internet
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Author: User
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▍ finishing: Chocolate It's not just the health insurance bureau Recently, at a meeting, the head of a third tier a university in Beijing said that in order to strictly control the proportion of consumption, the hospital will focus on monitoring the top 20 departments in terms of annual consumption It is understood that these key monitoring departments account for 80% of the annual expenditure of consumables in the whole hospital For the specific monitoring method, the above person in charge said that for the top 10 departments in terms of the amount of money, four kinds of data such as the details of consumables collection and use report should be fed back every month, and two kinds of data should be fed back every month by the 11 to 20 departments In addition, recently, Huai'an Municipal Health and Health Committee has also formulated the implementation plan for the management of clinical application of high-value medical consumables in medical institutions in Huai'an district and the notice on supervision and inspection of clinical application management of high-value medical consumables in medical institutions in Huai'an District, requiring the hospital to organize and hold a meeting of "top ten high-value consumables" every month When the high value consumables of dealers are used in hospitals in the first ten of the month, they will be interviewed by hospitals next month Controlling the proportion of consumption has always been the focus of the hospital's work In addition to the above-mentioned top three in Beijing, the first people's Hospital of Changde recently held a meeting and communication with suppliers on the price adjustment of consumables in 2019, and all consumables were haggled According to the official website of Changde No.1 People's Hospital, the vice president of the hospital announced the price policy of consumables on the spot: the price of all consumables was adjusted and reduced by 15% In addition, Changde No.1 People's hospital will also cut down on individual consumables and purchase some consumables in limited quantity It is understood that the above hospitals will also cut off a number of suppliers of consumables According to the hospital's official website, a total of 182 consumables suppliers attended the communication meeting on the same day, but the head of Changde first people's Hospital said that the number of vendors should be adjusted to about 50 and implemented in stages In response to the requirement of reducing the consumption of performance appraisal to 20% in the third level public hospitals, the hospital's relevant directors said at the meeting that the use management of consumables should be strengthened, the department directors should be assessed, the department heads who use consumables unreasonably should be interviewed, and economic penalties should be imposed It is understood that the first people's Hospital of Changde City is a top three hospital, with 1800 beds, a total asset of more than 1.836 billion yuan, of which the total value of medical equipment is 690 million yuan In 2019, the total number of diagnosis and treatment is 1.8 million, and the number of operations is 37000 In fact, in order to reduce the proportion of consumption, it is not the only hospital to reduce the price of consumables According to the information on the official website of Shanxi people's Hospital, at the end of 2017, there were 8200 kinds of consumables bidding for Shanxi people's Hospital, including high-value consumables, conventional consumables, sensory control consumables and testing reagents The hospital said on its official website that in the bidding process, the price of consumables listed in the sunshine net purchase catalogue or the limited price catalogue of the health and Family Planning Commission was further reduced; consumables not included in the sunshine purchase platform were reduced by 20% - 50%, and some orthopedic consumables were reduced by 50% At that time, the people's Hospital of Shanxi Province said that the new price after price reduction will be officially implemented from January 1, 2018, and the proportion of hospital consumption will be greatly reduced after the opening of bidding price On January 30 this year, the Information Office of the State Council held a regular briefing on the policy of the State Council In the process of answering reporters' questions, Zhang Zongjiu, director of the medical administration and medical administration bureau of the national health and Health Commission, said that the performance appraisal replaced the single drug proportion appraisal with the indicators related to rational use of drugs The proportion of single drug has been replaced Where will the fate of consumption proportion go? It is understood that in May 2015, the State Office issued the guidance on pilot comprehensive reform of urban public hospitals, which requires that the health materials consumed in the 100 yuan medical income (excluding drug income) be reduced to less than 20 yuan That is to say, the proportion of hospital consumption is less than 20% In the industry, this document is generally regarded as the beginning of reducing the proportion of consumption in domestic hospitals After that, hospitals all over the country began to take controlling the proportion of consumption as the key point of hospital management In contrast, the concept of drug proportion was first proposed by Shanghai in 1994 Since the general office of the State Council issued a document in 2015, it is clear that the proportion of compulsory drugs in the whole country is no more than 30%, and then this year, the single drug proportion assessment has been replaced, which has been more than 20 years In fact, the role of drug proportion in reducing medical expenses has been controversial in the industry In October 2018, the head of the national health insurance bureau made it clear in public that the decline in the proportion of drugs did not lead to the decline in medical expenses According to the analysis of the insiders, in order to cope with the proportion of drugs, some hospitals increased testing and unnecessary medical items, adjusted the prescription structure, and increased high-profit varieties, but some high-priced innovative drugs were excluded from the hospital pharmacy.
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