Henan to enable the new agricultural intelligent audit system illegal prescription will be recorded

The biggest feature of the new system is that it monitors all participants' information through information-based means, that is, to achieve full data audit of compensation information, and to ensure the security of the new agricultural fund to the maximum extent.Jia Xiaoyun Province, the director of the New Agricultural Joint Management Center
July 20, reporters from the provincial health planning committee was informed that our province recently in the first batch of pilot counties (cities, districts) officially launched the new agricultural joint intelligent audit system. This means that in the future, all in the province's new agricultural fixed-point hospitals in violation of the prescription of drugs, excessive inspection and other acts, will be intelligent audit system pop-up "warning", after the audit procedures to confirm the violation, the pilot area of the new agricultural joint operating institutions will refuse to pay the relevant compensation costs, medical institutions and medical personnel will be punished accordingly.
included in the first batch of intelligent audit system pilot, including Henan Provincial People's Hospital, Zhengzhou University Second Affiliated Hospital and other 6 provincial medical units, as well as Gongyi City, Zhongmou County, Yan County and other 10 pilot areas.full data audit of compensation information for all participants
the new agricultural audit system consists of a management-side audit system and a hospital-side control system.
In accordance with the requirements, in the management side audit system, the provincial new agricultural joint information platform will establish a "provincial library", all levels of new agricultural joint fixed-point medical institutions will be uploaded in real time, Chinese shousing, Ping An old-age intelligent audit engine will be docked with the "provincial library", the medical expenses of patients in the contracted areas of the automatic audit, the audit results will be transmitted back to the corresponding provincial agricultural joint management agencies and major disease insurance contractors.
does each review take? Our province introduced the "5 plus 5 plus 10" to ensure the audit time, that is, within 5 working days by the major disease insurance contractors to the system screening out of the cost information to complete manual preliminary examination, 5 working days by the co-ordination area of the new agricultural joint agency to complete the manual review, 10 working days by the designated medical institutions feedback review.
rules are followed for auditing new systems? According to the provincial health planning committee, the head of the primary health department, according to the new agricultural drugs and diagnosis and treatment catalog and other norms, the intelligent audit system in the first batch of 16 audit rules on the basis of the second batch of 15 new drugs and medical treatment audit rules, a comprehensive increase in the province's new agricultural joint supervision level."Electronic Eye" in November covers the province's fixed-point medical institutions
one of the highlights of this intelligent audit system is the development and construction of management-side intelligent audit system at the same time, the simultaneous establishment of hospital-side control system.
" in the past, the new agricultural information supervision, is often a kind of "after-the-fact supervision", the new intelligent audit system is equivalent to the management of the gate forward, to achieve medical service behavior before the reminder, in-process supervision and after-the-fact audit, forcing medical institutions to standardize the diagnosis and treatment behavior, strengthen internal management. Jia Xiaoyun said, "In fact, it is equivalent to the fixed-point medical institutions installed "electronic eyes" to monitor the doctor's diagnosis and treatment behavior in real time." It
that the pilot scope of the new agricultural joint intelligent audit system in our province will be further expanded this year, "electronic eye" monitoring will cover the province's new agricultural joint fixed-point medical institutions in November. Among them, in the hospital end control system, before August 10 this year, all provincial designated medical institutions and pilot areas of all cross-regional instant reporting medical institutions to complete the system upgrade and transformation, September 1 officially started operation;
At the same time, in order to standardize data transmission, our province requires that provincial and municipal cross-regional instant reporting medical institutions to timely and complete upload the cost information of new agricultural hospital patients, doctor information, inpatient case home page and other medical information, in the suspected violation of information to appeal evidence, should be uploaded through the provincial new agricultural information system patients' electronic medical records and inspection report documents and other necessary evidence materials. If the medical consultation information or evidence materials are uploaded incomplete, the new agricultural joint agency may not recognize its evidence. (Hexun)