Health Care Commission issues documents to eliminate a number of dealers

▍ finishing: Chocolate Recently, Shanghai Health and Health Commission issued the notice on Implementation (hereinafter referred to as the notice) According to the requirements of the notice, all medical institutions shall, in accordance with the principles of legality, safety, effectiveness, appropriateness and economy, select the medical consumables required by the institution and the list of its production and operation enterprises, and establish the medical consumables supply catalogue of the institution and carry out dynamic management with the approval of the medical consumables management committee In addition, the notice clearly states that the measures for the management of medical consumables for medical institutions (for Trial Implementation) (hereinafter referred to as the "measures") issued by the State Council should be implemented It is understood that in addition to the dynamic management of consumables supply catalogue, the management method also requires to limit the number of consumables enterprises According to the management measures, medical institutions shall strengthen the quantity management of the supply enterprises involved in the supply catalogue, and uniformly limit the number of medical consumables supply enterprises with the same or similar functions included in the supply catalogue It is worth noting that the notice also encourages medical institutions to jointly select and purchase medical consumables In fact, it is not only Shanghai that encourages joint procurement by medical institutions Recently, the State Council issued the notice on further promoting the experience of deepening the reform of medical and health system in Fujian Province and Sanming City, saying that in 2020, the pilot provinces of comprehensive medical reform should select places with conditions to carry out the pilot of close medical groups and county-level medical communities Recently, the Chongqing Municipal Health Commission has released the "three links" construction work plan of Chongqing County District medical community (Draft) It also said that in 2019, 17 counties and counties in Chongqing were conducting pilot projects in the county community One of the important roles of the medical community is to jointly purchase and negotiate Chongqing said in the above documents that the county medical community will unify the procurement of medical equipment, the allocation of facilities and equipment, and conduct price negotiations Medical insurance departments at all levels are required to strengthen the supervision and management of the purchase of medical consumables and give full play to the bargaining advantage of centralized purchase of medical communities At the same time, districts and counties can set up a unique procurement account, unify the procurement catalogue, unify price negotiation, unify the distribution of drugs and equipment, and unify the payment for goods According to the analysis of the insiders, the joint procurement of consumables by the medical community is also a form of volume procurement, only a variety selected by multiple medical institutions In the case of unified procurement, the shortlisted equipment enterprises have the opportunity to expand sales, and the equipment enterprises without shortlisted basically have no living space Such a market environment is very unfavorable for small dealers, a large number of small dealers will be eliminated, and it will be the choice of many dealers to seek acquisition or transformation to service Do not facilitate the sale of medical equipment In order to implement the management measures, the above notice of Shanghai Health and Health Commission also clearly requires that it is strictly prohibited to carry out statistics of medical consumables for commercial purposes or provide convenience for statistics of medical consumables marketing personnel It is understood that the unified data of the hospital can play an auxiliary role in the sales of medical equipment representatives, but this data can only be used by some internal staff of the hospital In recent years, cases of illegal access to unified data by medical equipment representatives are common In addition, in order to strengthen the management of clinical use of medical consumables, the notice also requires medical institutions to include the main medical consumables into the scope of active disclosure, and disclose the brand product regulations, suppliers and prices and other relevant information At the same time, doctors and departments with unreasonable clinical application of medical consumables shall be dealt with in accordance with laws and regulations; those suspected of crimes shall be transferred to the judicial department for handling in accordance with laws For medical institutions with clinical unreasonable use of medical consumables, the administrative department of health and health shall, depending on the circumstances, admonish and talk, circulate a notice of criticism, and make rectification within a time limit If the problems are serious, the person in charge of the medical institutions shall be investigated for responsibility ----------------------------------- Full text: District Health and health committees, Shenkang hospital development center, relevant universities, CFA, and municipal medical institutions: In order to strengthen the clinical application management of medical consumables, promote the scientific, standardized and reasonable use of medical consumables, effectively reduce the burden of medical treatment for the masses, and safeguard the health rights and interests of the masses, the state health and Health Commission and the State Administration of traditional Chinese medicine have organized and formulated the measures for the management of medical consumables in medical institutions (for Trial Implementation) (hereinafter referred to as the "measures") Please visit the state health commission Download the medical administration and medical management column of the website), and forward it to you, and put forward the following requirements for the implementation of the measures, please comply with them 1、 Improve ideological understanding and organizational learning The District Health Committee, the main body of running the hospital and the medical institutions should attach great importance to the implementation of the measures, fully understand the significance of the measures in promoting clinical science and rational use of medical consumables, reducing the burden of medical treatment for the masses, and safeguarding the health rights and interests of the masses; organize the study as soon as possible to ensure the medical staff, the management personnel of the medical institutions and the health practice The administrative personnel fully and accurately understand and master the requirements of the measures, guide and urge the medical personnel to use medical consumables in a standardized, legal, safe, effective and appropriate way 2、 Grasp key tasks and implement them conscientiously （1） Establish and improve the management organization of medical consumables Medical institutions bear the main responsibility for the management of medical consumables, and the main person in charge of medical institutions is the first person in charge of the management of medical consumables Medical institutions at or above the second level shall establish their own medical consumables management organizations and medical consumables management committees; other medical institutions shall establish medical consumables management organizations Other medical institutions such as community health service center (station), village health room (station), outpatient department, clinic, infirmary, etc may be responsible for the management of medical consumables by the person in charge of the institution The medical consumables management committee is composed of the heads of medical management, medical consumables management, pharmacy, nursing, hospital infection management, financial management, medical insurance management, information management, discipline inspection and supervision, audit and other departments, as well as the relevant clinical departments and medical technology departments with senior technical post qualifications The chairman of the medical consumables management committee shall be the main person in charge of the medical institution, and the designated medical consumables management department and medical management department shall be responsible for the daily work （2） Strictly select and purchase medical consumables Each medical institution shall, in accordance with the principles of legality, safety, effectiveness, suitability and economy, select the medical consumables required by the institution and the list of its production and operation enterprises, and establish the medical consumables supply catalogue of the institution with the approval of the medical consumables management committee, and conduct dynamic management Medical institutions shall strictly implement the relevant provisions of the state and the Municipality on centralized procurement of medical consumables, and purchase the winning medical consumables through the procurement platform; the procurement of medical consumables shall be carried out by the medical consumables management department in a unified way, and other departments or departments shall not engage in the procurement of medical consumables, nor use the medical consumables purchased and supplied by the non-medical consumables management department The purchase application of medical consumables shall be put forward by the using department or department according to the actual needs, and shall be purchased by the medical consumables management department according to the requirements of relevant laws and regulations after being approved by the medical management department For the temporary procurement of medical consumables beyond the supply catalogue, it can only be implemented with the approval of the medical consumables management committee Medical institutions are encouraged to jointly select and purchase medical consumables （3） Strengthen the acceptance, storage, application and distribution of medical consumables Medical institutions shall establish acceptance system for medical consumables, which can be put into storage only after the acceptance personnel pass the acceptance The acceptance personnel shall focus on the inspection of whether the medical consumables meet the selection requirements, quality conditions, validity period, etc., and the medical consumables that do not meet the selection requirements and have no quality certificate, expired, invalid or eliminated shall not be accepted and warehoused Medical institutions shall establish a storage system for medical consumables, equip corresponding warehouses and facilities and equipment, and regularly maintain and inspect the quality of medical consumables to ensure the safe and effective storage of medical consumables The department or department using medical consumables shall apply to the management department of medical consumables according to the needs; the management department of medical consumables shall review and issue according to the regulations Medical institutions shall establish and improve the management system of medical consumables out of the warehouse, check the medical consumables out of the warehouse, and ensure that the distribution is accurate, the products are qualified and safe （4） Strengthen the clinical application management of medical consumables Medical institutions shall supervise and manage the whole process of using medical consumables for clinical diagnosis, prevention and treatment of diseases in their own institutions According to the classified catalogue of medical devices, the administrative measures for operation classification of medical institutions and the detailed rules for the implementation of the administrative measures for clinical application of medical technology in Shanghai, the medical consumables included in the supply catalogue shall be managed by level I, level II and level III, among which the level I medical consumables shall be used by health technicians; the level II medical consumables shall be funded After relevant training, the qualified health technical personnel shall use the medical consumables under the guidance of qualified health technical personnel; the class III medical consumables shall be used by the health technical personnel with relevant technical operation qualifications in accordance with the relevant provisions of medical technology management Medical institutions should establish a registration system for clinical application of medical consumables, so that medical consumables information, patient information and diagnosis and treatment related information are related to each other, so as to ensure that the medical consumables used can be traced forward and backward The medical staff shall carefully implement the routine of disease diagnosis and treatment, strictly follow the indications of operation and the indications of application of medical consumables; carefully record the operation process, the pathological position, the name, specification, model and quantity of medical consumables used, and paste the product bar code of medical consumables used in the inpatient medical record and consumables use registration form If the medical consumables need to be tried before selection and purchase, the use department or department shall organize to demonstrate the necessity, feasibility and safety measures of the trial, and apply to the medical management department of the medical institution for trial after approval （5） Monitoring and evaluation of clinical application of medical consumables Medical institutions should include the clinical response of medical consumables into the medical quality control system, establish the quality and safety report, adverse reaction monitoring, key monitoring, abnormal early warning and evaluation system of medical consumables, and monitor, analyze and evaluate the clinical safety, effectiveness and economy of medical consumables It is necessary to strengthen the application of the evaluation results of the clinical application of medical consumables, and to comment on and intervene the use behavior of medical consumables by clinicians Focus on monitoring medical consumables with high technical requirements, high risks, high unit price and resource consumption, and large use （6） Strengthen the information construction of medical consumables management Medical institutions shall establish a medical consumables information management system, build a management information system, and integrate it with other relevant information systems to achieve the functions of medical consumables selection, procurement, acceptance, warehousing, storage, inventory, application, delivery, clinical use, quality and safety event report, poor response monitoring, key monitoring, abnormal early warning, comment, etc., so as to achieve each medical consumables The whole life cycle of can be traced back The management department of medical consumables shall input relevant information into the information system when the medical consumables are accepted and warehoused The information shall at least include the level of medical consumables, risk category, registration certificate category, medical consumables category, purpose, function, material, specification, model, sales manufacturer, price