National Health and Health Commission: thousands of hospitals focus on monitoring high value consumables

▍ finishing: Chocolate Nationwide, focus on monitoring high value consumables On December 5, the Health Administration Bureau of the national health and Health Commission issued the notice on strengthening the performance appraisal of secondary public hospitals (hereinafter referred to as the notice), which clearly requires the national secondary public hospitals to monitor high-value consumables According to the performance evaluation index of secondary public hospitals (Trial) (hereinafter referred to as the evaluation index) published in the notice, the national secondary public hospitals focus on monitoring the proportion of high-value medical consumables income The calculation method is "key monitoring high value medical consumables income / total consumables income of the same period × 100%", which is filled in by the hospital independently According to the notice, the performance appraisal of secondary public hospitals will be launched nationwide in 2020 By the end of June 2020, each province will issue a specific implementation plan, complete the first level II public hospital performance assessment by the end of December 2020, and complete the above work by the end of June 2021 every year The national health and Health Commission will complete the first national monitoring index analysis before the end of November 2020, and the above work before the end of May 2021 According to the latest data from the statistical confidence center of the national health and Health Commission, by the end of September 2019, there were 34000 hospitals nationwide, including 12000 public hospitals and 9368 secondary hospitals It is worth noting that the notice shows that this is to strengthen the performance appraisal of the second level public hospitals on the basis of summarizing the work experience of performance appraisal of the third level public hospitals On January 30 this year, the State Health Commission, the medical administration and the Medical Administration Bureau issued the opinions of the general office of the State Council on strengthening the performance appraisal of the three-level public hospitals In the performance appraisal indicators of the three-level public hospitals, there are many requirements for drug costs, but no clear requirements for high-value consumables However, the "assessment index" clearly requires that the secondary public hospitals focus on monitoring the proportion of high-value medical consumables income, but the types of high-value consumables that focus on monitoring have not been published It is understood that on July 31, the State Council issued the reform plan for the treatment of high-value medical consumables (hereinafter referred to as the reform plan), which requires strengthening the standardized management of high-value medical consumables, defining the scope of treatment, and taking the high-value medical consumables with relatively high unit price and resource consumption as the key target of treatment According to the reform plan, the first batch of key governance lists will be completed by the end of 2019, which will be in the charge of the national health and Health Commission and the National Health Insurance Bureau On November 18, the official website of the State Council issued the notice of the leading group of the State Council on deepening the reform of the medical and health system on further promoting the experience of deepening the reform of the medical and health system in Fujian Province and Sanming City The above documents also clearly indicate that in 2020, all localities should strengthen the use and management of consumables in accordance with the list of key management of high-value medical consumables formulated by the state and relevant work requirements, and the pilot provinces of comprehensive medical reform should ensure to achieve phased results It is understood that in 2015, the leading group of medical reform of the State Council decided to carry out a comprehensive pilot of provincial medical reform, involving 11 pilot provinces in total, including Jiangsu, Anhui, Fujian, Qinghai, Zhejiang, Chongqing, Sichuan, Shaanxi, Hunan, Ningxia and Shanghai At the national level, it is constantly emphasized to issue the list of high-value consumables management, while some provinces have begun to take action Recently, according to the report of medical and health daily, which is in charge of the health and Health Commission of Henan Province, the health and Health Commission of Henan Province will select 50 kinds of high-value consumables and establish the key management list of high-value consumables in medical institutions of Henan Province After that, 30 kinds of high-value consumables were selected from the provincial key management list of cities and counties (cities) directly under the jurisdiction of each province, and the key management list of high-value consumables was established Medical institutions select high-value consumables from the provincial key management list to establish their own key monitoring catalogue In principle, there are no less than 10 and 30 kinds of products in the catalogue of level II and level III hospitals The key monitoring catalogue of medical institutions shall be dynamically managed and regularly adjusted From the point of view of hospitals, it is also one of the key reasons for the management of high value consumables to meet the requirements of consumption proportion Recently, according to the information on the official website of the first people's Hospital of Changde City, at the meeting and communication meeting of suppliers for consumables price adjustment in 2019, the vice president announced the consumables price policy on the spot - the price of all consumables dropped by 15%.