Drug control platform expects more "vertical and horizontal integration"

Source: Health Report 2015-12-24 at the end of October this year, after more than a year of construction, the national drug supply security comprehensive management information platform was officially launched, and it was connected with the provincial drug centralized procurement platform systems of 30 provinces (regions, cities, excluding Tibet), basically realizing the national interconnection of drug supply related information So far, in the new round of "four beams and eight pillars" system framework, the drug supply guarantee system, one of the "four beams", has the information management tool connecting the whole country Information transparency helps the drug price return to reasonable "The procurement cycle, catalogue and policies are different in different regions, so the information related to drug procurement issued by each province should be paid attention to It takes a lot of manpower to find these policy information alone It's a rush of time " "The national drug control platform is the distribution center of information, and the latest procurement policies and progress can be" all in one ", which provides great convenience for enterprises to carry out their work," said the manager of the Sales Department of a large domestic pharmaceutical enterprise National drug control platform can play a role far beyond information collection In May 2014, the national health and Family Planning Commission made it clear that the Department of drug administration was responsible, and the statistical information center was specifically responsible for the construction and operation of the platform For this purpose, the statistical information center has set up a drug information management office, which has successively completed the tasks of phase I software development, supervision public bidding and phase I platform construction, so that the platform initially has the functions of drug supply management, distribution management, use management, fund supervision, bidding and procurement performance evaluation, basic drug system operation monitoring and evaluation, and comprehensive statistical analysis According to a technical expert from the center, information acquisition and communication belong to the platform's extranet function open to the public More importantly, the platform Intranet can monitor the provincial platform data transmission at any time, report the data processing and other information daily, and timely summarize the bid winning price, purchase price, daily transaction quantity, and the national drug price decibel range and other information of the centralized purchase of drugs in various regions At present, the statistical information center has issued digital certificates and usbkeys for all regions, and drug purchasing departments of all regions can consult relevant data and information at any time within the scope of authority "The national drug control platform can make information such as drug prices that were previously relatively difficult to obtain more open and transparent within a certain range, and local governments can consult each other when purchasing drugs, so as to gradually return the overall level of drug prices to a reasonable level." The head of the drug administration department said that the short-term goal of the national drug control platform is to provide services and strengthen supervision for the centralized purchase of drugs; in the long run, it is a modern tool and means to serve the decision-making and management of the basic drug system, the drug supply guarantee system, the national drug policy and the medical reform policy Drug ID is the "key" of data Treasury Previously, in the process of centralized drug procurement at the provincial level, most regions made their own drug codes that are applicable to their own regions; after the interconnection between the national drug control platform and the regions, the lack of a unified national drug name and code has become an obstacle for the smooth docking between the platforms, which not only causes the poor exchange of information and data between each other, but also causes the difficulty and cost of information collection and statistical analysis High, low accuracy, and the market reference value hidden behind the data is difficult to be fully explored (next to version 3) (last to version 1) "Putonghua is spoken on the national platform, and dialects are spoken on the provincial platforms If communication is difficult, the work will be more difficult to carry out." Technical experts have made a figurative metaphor for this: "unified drug classification code is a key to open the data Treasury, and it is the basic work to develop all functions on the platform." 160000, which is the number of drug codes in the drug basic database (version v1.0) of the national drug control platform, "specific to the product regulations and manufacturers, each drug listed in China can find its own unique code in the database" Experts said that since 2014, the national health and Family Planning Commission has organized experts and institutions to sort out and analyze the codes of centralized procurement in various provinces, and studied and formulated the rules for statistical classification and coding of centralized procurement of drugs On this basis, firstly, the 2012 edition of national essential drugs (520 kinds) was coded, and combined with the suggestions of classification coding experts, pharmaceutical experts and drug centralized procurement experts, systematic, practical and standardized transformation was carried out After several rounds of expert argumentation and modification, we have gradually completed the unified coding of all kinds of drugs The data of the drug basic information base of the state drug administration platform will be maintained centrally and updated regularly, "the newly approved drugs shall be updated and added in time, and the drugs eliminated from the market shall be sorted out and deleted" Experts said that this set of unified standard drug coding has been provided to all provinces for use At present, in the new round of drug procurement, many provinces have taken the initiative to carry out the comparative translation of coding In addition to the lack of standards for drug classification and coding, due to the lack of unified construction specifications, the functional level of provincial drug centralized procurement platforms is also uneven Some platforms can only meet the requirements of bidding procurement, without the service capacity of supervision and settlement For this reason, the national health and Family Planning Commission has repeatedly promoted the standardized construction of provincial platforms, defined the basic functions that the platforms should have, and on this basis, collected the relevant data of drug procurement in each province in 2014, and carried out the construction of databases of medical institutions, drug prices, production, operation and distribution enterprises The interconnection should not only be in the purchase process In fact, there are many codes assigned to drugs in China: the medical insurance system code for reimbursement and settlement, the drug supervision system code for production registration, and even many hospitals have developed internal drug codes for the convenience of management Experts said that there are too many and disorderly drug codes and they don't recognize each other, which creates a big obstacle to the interconnection of information in the field of drugs For example, before that, all regions reported information by phone, fax and other means after the actual occurrence of drug shortage, but with a unified identity code and management platform, "the situation is different." Technical experts said that at present, the national drug control platform is developing a drug shortage early warning information model When the medical institutions send orders and the enterprises do not respond, or the enterprises cannot supply enough after responding, the platform will automatically obtain these data in real time and send out the drug shortage early warning in advance The construction of the national drug control platform and the interconnection with the provincial platform provide information means for the management of drug supply assurance, and improve the efficiency and accuracy of management However, experts also said that the functions currently developed by the national drug control platform are still limited to drug purchase, which will be finished after the settlement of drug warehousing Considering from the perspective of the whole process and chain management of drugs, such information connection is not enough to be "addictive" After all the information chains are connected in the purchasing process, more consideration should be given to strengthening the application of coding in the production and use of drugs Taking the drug shortage as an example, experts said that if the national drug control platform is interconnected with information systems in the fields of drug production and supervision through standardized drug coding, when the price of drug raw materials rises, production standards upgrade and other situations occur, the drug supply assurance system can obtain these information in time, so as to prepare for the possible drug shortage It is suggested that the national and provincial platforms, on the one hand, carry out the docking with the information systems of medical insurance, industry and information technology, drug administration and other departments at the same level, on the other hand, strengthen the connection with the information systems of medical and health institutions at all levels, and form the whole chain of "closed-loop" management.