Policy interpretation: Notice on strengthening performance appraisal of secondary public hospitals

1、 What is the background of the document? The implementation of public hospital performance appraisal is a major decision-making and deployment of the Party Central Committee and the State Council It is an important yardstick to test the effectiveness of the reform and development of public hospitals It is of great significance to further deepen the comprehensive reform of public hospitals, accelerate the establishment of hierarchical diagnosis and treatment system and modern hospital management system The guiding opinions of the general office of the State Council on the pilot comprehensive reform of urban public hospitals and the guiding opinions of the general office of the State Council on the establishment of a modern hospital management system all propose to establish a public welfare oriented assessment and evaluation mechanism, regularly organize the performance assessment of public hospitals, the assessment results and financial subsidies, medical insurance payment, the total amount of performance wages, as well as the remuneration, appointment and removal of presidents , rewards and punishments In December 2015, our commission, together with the Ministry of human resources and social security and the State Administration of traditional Chinese medicine, issued the guidance on strengthening the performance evaluation of public medical and health institutions In January 2019, the opinions of the general office of the State Council on strengthening the performance appraisal of three-level public hospitals was officially issued, and the performance appraisal of three-level public hospitals was launched in an all-round way In recent years, through the research and implementation of three-level public hospital performance appraisal, our committee has established a standardized and information-based performance appraisal support system, unified the coding rules required for performance appraisal, built and opened the national public hospital performance appraisal management platform, and each region has built its own performance appraisal platform or carried out localized appraisal based on the national platform, so as to comprehensively promote the performance appraisal of public hospitals The assessment work has laid a foundation and accumulated experience At present, the experience and technical conditions for the performance assessment of secondary public hospitals are basically met In order to implement the key tasks of deepening the reform of the medical and health system in 2019, the national health and Health Commission, together with the State Administration of traditional Chinese medicine and relevant business departments, formulated the notice on strengthening the performance appraisal of secondary public hospitals (hereinafter referred to as the notice) 2、 Main contents of the document The notice, guided by Xi Jinping's socialist ideology with Chinese characteristics, fully implements the spirit of the nineteen and nineteen sessions of the second, third and fourth plenary sessions of the party, promotes the implementation of the healthy China strategy, deepens the reform of public hospitals, establishes the modern hospital management system, takes performance appraisal as the starting point, persists in public interest, mobilizes the initiative, and guides the implementation of China's two level public hospitals We will continue to improve the ability of medical services and scientific management, and promote the implementation of comprehensive reform policies in public hospitals According to the notice, the performance appraisal of secondary public hospitals will be launched nationwide in 2020, and a relatively complete performance appraisal system of secondary public hospitals will be established in 2022 According to the principle of localized management, all secondary public hospitals will be included in the scope of performance appraisal "Notice" clear three aspects of the key tasks, one is to promote the overall assessment work The State formulates unified standards, key indicators, system structure and implementation path, and the provincial health administrative departments (including the competent departments of traditional Chinese Medicine) set different indicators and weights for different categories of secondary public hospitals The second is to establish a scientific index system On the basis of continuation of the three-level public hospital performance evaluation index system framework, according to the actual situation of the two-level public hospital, according to the principle of "collection first, filling in as a supplement", try to refine the evaluation index to form the two-level public hospital performance evaluation index system, including 28 indexes in four aspects, namely, medical quality, operation efficiency, sustainable development and satisfaction evaluation, all of which are quantitative Indicators, 21 of which are national monitoring indicators Local governments may make appropriate supplements in combination with the actual situation Third, we will continue to improve the support system The second level public hospitals shall fill in the front page of medical records according to the unified regulations of the national health and Health Commission, use the unified disease classification code, operation code and medical terminology set of the national health and Health Commission (the second level Chinese medicine hospitals shall use the unified TCM syndrome classification and code and TCM terminology set of the national administration of traditional Chinese Medicine), and strengthen the standardization, standardized management and quality control of clinical data Work Through information technology, we will use the Internet plus assessment method to carry out the performance evaluation of the two level public hospitals According to the notice, the performance appraisal of secondary public hospitals is carried out in accordance with the year, which is divided into three steps: hospital self-examination and self-evaluation, provincial annual appraisal, and national monitoring and analysis The time node and responsibility subject are defined Each province will issue a specific implementation plan before the end of June 2020, complete the first level II public hospital performance appraisal before the end of December 2020, and complete the above work before 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 3、 What are the specific measures to promote the implementation in the next step? The performance appraisal of the second level public hospital and the third level public hospital is a systematic project to strengthen the integration of public hospital management Next, the national health and Health Commission will further play the role of coordinating the promotion of performance appraisal, information sharing and application mechanism of results in multi sector public hospitals, strengthen overall coordination with relevant departments, and form a working force Timely issue supporting documents and strengthen the guidance of local work We will expand the functions of the national three-level public hospital performance appraisal information system, support the performance appraisal work of the two-level public hospitals, make full use of supercomputing technology and big data technology, and promote the standardization, informatization and accuracy of the performance appraisal of public hospitals Summarize the work experience of performance appraisal in public hospitals in time, excavate and publicize the typical experience of performance appraisal 37