Health and Health Commission order: strictly check the proportion of consumption and talk about a large number of dealers

The health and Health Committee and the medical insurance bureau establish a joint meeting system, which requires all medical institutions to establish a "high value consumables clinical use management committee" and formulate consumables related systems Each hospital organizes a "top ten high value consumables interview" meeting every month to control the proportion of consumables On November 9, an industry expert pointed out that China has become the second largest market in the global medical device market, and the scale of medical consumables market is gradually expanding Statistics show that the market sales of medical consumables in China has reached 160 billion yuan, accounting for 12% of the global market share of medical consumables Among them, the proportion of high-value medical consumables in the medical device market is increasing year by year The market scale of high-value medical consumables in China has reached RMB 63 billion, accounting for 10.9% of the total scale of medical equipment, and the annual compound growth rate of the industry market scale in the past five years has reached 27% It is reported that in the market of high-value medical consumables, most of the high-value consumables occupied by the imported products are mainly orthopedic consumables and cardiac stent products The market scale of domestic orthopedic consumables and cardiac stent products is 2.9 billion yuan and 2.5 billion yuan respectively, accounting for 8% of the total market of medical consumables in China In the distribution of product sources in high-value medical consumables market, foreign investment accounts for about 75%, domestic product accounts for 8%, and other products account for 17% In terms of brand, 29% of Medtronic, 30% of Johnson & Johnson, 9% of Boston, 9% of belang, 8% of Abbott and 5% of telmao At the same time, industry experts pointed out that the cost of traditional Chinese medicine products and consumables in large hospitals accounts for about 50% - 55% of the total Consumables are very important for medical institutions, and the management of relevant national departments tends to be strict, accurate and effective Recently, according to the information of Huai'an health and Health Commission, Huai'an health and Health Commission carried out the "special renovation work of high-value medical consumables", formulated the "implementation plan of clinical application management of high-value medical consumables in medical institutions in Huai'an district" and "Notice of supervision on clinical application management of high-value medical consumables in medical institutions in Huai'an district", and promoted the special renovation work At the same time, the main responsibilities of the hospitals were interviewed The content pointed out that the relevant departments specially held a collective meeting on the special treatment of high-value medical consumables in the whole region, and the Party committee and the discipline inspection team dispatched to the district had an interview with the main principals and the persons in charge of the hospitals in the whole region, and deployed the special treatment work It is worth noting that in the renovation measures, the health care Commission and the medical insurance bureau have established a joint meeting system, which requires medical institutions to establish a "high value consumables clinical use management committee" and develop a "high value consumables application, procurement, management, use" and other related systems Each hospital organizes a "top ten high value consumables interview" meeting every month to effectively control the proportion of consumables It can be seen that when the high-value consumables of dealers are used in the first ten of the month in the hospital, the hospital will ask them to talk and communicate "business situation" next month (screenshot source: Official Website of Huainan Health Committee) At the same time, the strength of inspection will be enhanced unprecedentedly, involving flight inspection, sampling inspection, Department inspection, post inspection, and timely refund of illegal funds Specifically, the health and Health Commission proposed in the renovation measures that the medical administration department should monitor the key links, key departments and key posts by means of regular supervision, irregular inspection and flight spot check At the same time, all units are required to strictly implement the procurement management system, check and ask for various certificates, sign procurement contracts, and refund the illegal funds Each hospital should establish a long-term mechanism and prevention mechanism related to high-value medical consumables, and constantly summarize in the process of special renovation, timely establish rules and regulations, and implement long-term management With the goal of "blocking system loopholes, reducing false high prices and implementing normal supervision", the district medical insurance bureau cooperated to formulate and issue the management and implementation measures for standardized use of medical consumables in public medical institutions Implement the integrity system and bad record management of medical consumables (screenshot source: Official Website of Huainan Health Committee) According to the regulations, how does the hospital reduce the proportion of consumption? Taking the actual situation of a top three hospital in Beijing as an example, it is understood that the consumables in the hospital account for 46%, 14% of diagnosis and treatment, 12% of laboratory tests, 12% of inspection and 16% of drugs, and nearly 90% of 46% are high-value consumables After canceling the addition of consumables, the hospital reduced the proportion of consumables from 46% to 37%, and the proportion of medicines from 16% to 13.8% Among them, diagnosis and treatment increased by 10 points The first is price negotiation The Institute negotiates a large number of consumables, and then conducts secondary selection of high-value consumables, so as to enhance some domestic brands during selection In Beijing, the six categories are bidding projects in Beijing, Tianjin and Hebei Therefore, after selection, domestic brands will be promoted and the price cost will be reduced.