National Health and Health Commission: performance assessment and data quality control of three-level public hospitals in accordance with the principle of localization

Health and Health Committee and medical management center of all provinces, autonomous regions, municipalities directly under the central government and Xinjiang production and Construction Corps: In accordance with the clear working principles and requirements of the opinions of the general office of the State Council on strengthening the performance appraisal work of the third level public hospitals (GBF [2019] No 4, hereinafter referred to as the opinions), all localities are requested to start the performance appraisal work of the third level public hospitals as soon as possible according to the implementation plan of the province At the same time, in order to ensure that the performance appraisal data are objective, authentic and comparable, all localities shall carry out quality control on the data submitted by the three-level public hospitals within their jurisdiction to the national three-level public hospital performance appraisal management platform (hereinafter referred to as the management platform) The specific requirements are as follows: 1 Content and time of data quality control Our committee will open the management platform (https://www.nmpas.org.cn) on August 12 for the self-examination of the data and supporting materials filled in by the three-level public hospitals, and for the provincial health administrative departments to carry out data quality control （1） Requirements for self inspection of level III public hospitals Each level-3 public hospital shall carefully check and control the data and supporting materials submitted by the hospital according to the operation manual for performance appraisal of level-3 public hospitals and the requirements of the implementation plan for performance appraisal of local level-3 public hospitals 1 The first stage: the quality control of national monitoring indicators 4, 5, 6, 8, 9, 10, 13, 14, 24, 45, 46, 48, 53, 54 and 55 is in the charge of our committee, and the quality control of non-national monitoring indicators 52 is in the charge of the public credit information center of the national development and Reform Commission After the quality control of the above data is completed, it will be embedded in the management platform for reference and use by all regions For indicators 45 and 46, please maintain the personnel information in the national medical institutions, physicians and nurses electronic registration system (institution end) before August 20 according to the actual situation of each three-level public hospital, and the anesthesia and pathology doctors on duty information should be maintained in specific departments Before August 20, the hospital shall complete the quality control of other national monitoring indicators in addition to those in the charge of our committee, form the first stage analysis report (the template is downloaded on the management platform), report to the provincial health administration department of the territory, and upload it to the management platform 2 The second stage: each three-level public hospital shall complete the quality control work of non-national monitoring indicators (except for indicator 52) before August 31, form the second stage analysis report (the template is downloaded on the management platform), report to the local provincial health administration department, and upload to the management platform （2） Data quality control requirements of provincial health administrative departments 1 Check the basic information of medical institutions Before August 25, in accordance with the requirements of the detailed rules for the implementation of the regulations on the administration of medical institutions, the notice of the State Council on the approval and transfer of the general plan for the construction of the unified social credit code system for legal persons and other organizations in the departments such as the development and Reform Commission, the basic standards for medical institutions (Trial), the National Health Statistics and survey system 2018, the first name and legal person of the three-level public hospitals were verified and standardized Unify with other organizations the social credit code, the registration number of the practice license of the medical institution, the grade and category of the medical institution, etc., so as to ensure the authenticity and accuracy of the information of the medical institution 2 Check the data on the front page of the medical record Before October 1, all provincial health administrative departments relied on the provincial medical record quality control center, supported by the national medical record management quality control center, and combined with the actual development of the four-level operation directory and minimally invasive operation directory for the provincial performance appraisal, and checked the relevant data on the front page of the medical record 3 Check the performance appraisal related index data Check and control the data reported by the three-level public hospitals in the jurisdiction, and form the overall data quality control analysis report of the first and second stage performance appraisal of the local three-level public hospitals (the template is downloaded on the management platform), which will be uploaded to the management platform before August 25 and October 1, respectively 2、 Supplementary index data and supporting materials (1) supplementary index 50 supporting materials for scientific research project funds of every 100 health technical personnel By August 20, the three-level public hospitals shall upload the supporting materials related to the establishment of scientific research funds in 2018 to the management platform (the template shall be downloaded on the management platform) （2） Supplementary indicator 32 income ratio of auxiliary drugs By August 20, all three-level public hospitals shall, in accordance with the requirements of the notice on printing and distributing the first batch of national key monitoring and rational drug use catalogue (chemical and biological products) (GWB YH [2019] No 558), calculate the proportion of auxiliary drug revenue in 2016-2018, and fill in the relevant data in the management platform 3、 Other requirements (1) according to the requirements of the operation manual, the data source is marked as the indicator of the annual financial statements, and each three-level public hospital shall compare the data with the annual financial statements of the hospital, and fill in the data according to the annual financial statements If there is no budget management relationship between the hospital and the health administrative department, or if the budget management relationship exists but the non hospital accounting system is implemented, the hospital shall carefully verify the data, complete the quality control work according to the time node requirements of the two stages, and the provincial health administrative department shall review and confirm （2） In case of any problem found in data quality control of public hospitals at three levels, a written report shall be submitted to the provincial health administration department of the territory, and data correction shall be conducted on the management platform after approval, and a detailed description of the situation shall be filled in, which shall be reviewed and confirmed by the provincial health administration department For the problems found in the data quality control of the provincial health administrative department, it is necessary to timely inform and urge the relevant hospitals in the jurisdiction to correct the data and fill in the situation description The data after quality control is used for performance appraisal in various regions （3） All localities should conscientiously implement the requirements of the opinions, build a platform for performance appraisal information system, establish an expert committee for performance appraisal, and establish a quality control system for performance appraisal data In case of any fabrication, false report or concealment found in the quality control process, our committee will issue a notice of criticism and cancel the qualification of performance appraisal of the hospital in that year Contact person of Medical Administration Bureau of national health and Health Commission: Xiao Li, Wang Fei Tel: 010-68791885, 68791889 contact person of medical administration center of national health and Health Commission: Chu Shijing, Zhai Xiaohui Tel: 010-68791681, 68791678 General Office of national health and Health Commission August 8, 2019