Policy interpretation of the Measures for the Score of Bad Practices of Physicians in Shanghai

Medical Network January 8th, why revise the Shanghai Physicians Bad Practice Score Management Measures (trial)? In February 2019, the city promulgated the Measures for the Score of Bad Practices of Physicians in Shanghai (Trial), which expires in February 2021, taking into account the actual situation of nearly two years: First, new laws and regulations have been promulgated and implemented.
in the past two years, relevant laws and regulations of the state and the city have been issued, such as the Basic Medical and Health Promotion Law, the Shanghai Municipal Public Health Emergency Management Regulations, etc.;
combined with the city's continuous optimization of the business environment and the reform requirements of "discharge clothing", the management of physicians put forward new requirements.
revised the normative document and promulgated the Measures for the Score of Bad Practices of Physicians in Shanghai.
, what behavior should doctors have to be scored for bad practice? Physicians shall not comply with the relevant regulations in respect of qualifications, medical ethics, informed consent, privacy protection, information reporting, medical technology, medical records, prescriptions, medicines, equipment, maternal and child health care, infectious diseases, etc., and shall perform bad practice in the event of medical accidents (damages) Score, a total of 68 scoring situations, the score includes 1 point, 2 points, 4 points, 6 points, 8 points, 9 points, 10 points, 12 points, 18 points nine.
, how to calculate the score of doctor's bad practice behavior? The city implements the cumulative calculation of the score of bad practice of physicians.
of the doctor's bad practice is two years, which is consistent with the time of the doctor's regular appraisal cycle.
period expires, the score score for that cycle is automatically eliminated and the score for the next cycle is restarted.
of the physician's bad practice score during a scoring cycle shall not be changed by the change of the physician's practice institution.
, if a physician's bad practice behavior has been subject to administrative punishment, should the bad practice behavior be scored? The score of a physician's bad practice shall be carried out in sync with the correction, punishment or administrative responsibility investigation of the bad practice.
the bad practice of a physician is subject to administrative punishment in accordance with the provisions of health laws, regulations and regulations, the administrative department of health shall, at the same time as making the decision on administrative punishment, give the corresponding score.
, what are the scoring rules for bad practice by physicians? If the administrative department of health discovers in a supervision and inspection that a physician has repeatedly violated the same scoring situation, he shall be scored according to the occurrence of a bad practice.
as: a check-up found that the physician's multiple prescriptions do not meet the prescription writing norms, according to the occurrence of a bad practice to score.
the administrative department of public health in a supervision and inspection found that the same bad practice of physicians involved in a variety of scoring situations, according to the scoring points of the situation to score points.
such as: doctors in the course of diagnosis and treatment do not write medical records, should be in accordance with the non-writing of medical records to score 10 points, should not be in accordance with the provisions of the failure to fill out medical records to score 2 points.
the administrative department of public health shall score points separately if it discovers in a supervision and inspection that there are two or more kinds of bad practices committed by physicians.
as: a check found that the doctor's prescription, medical record writing are not in line with the prescription, medical record writing norms, according to the occurrence of two kinds of bad practice to be scored separately.
, how does the scoring procedure of the administrative department of health on the bad practice of physicians operate? 1, there are administrative penalties of the scoring process.
Where a physician's bad practice is subject to administrative punishment and points are given, the administrative department of health shall, at the same time as serving the Notice of Advance Notice of Administrative Punishment, serve the "Prior Notice of the Physician's Bad Practice" (hereinafter referred to as the "Notice") to inform it of the facts, reasons and grounds on which the bad practice is to be scored.
the administrative department of health served the Administrative Penalty Decision on the same time as the "Physician's Bad Practice Score Notice" (hereinafter referred to as "Notice"), the date of payment of the Notice is the date of score.
2, no administrative penalties of the scoring process.
not to be administratively punished for the misconduct of a physician but should be scored, the administrative department of health shall produce a Notice within 10 working days after supervision and inspection.
shall serve the Notice within 10 working days of the service of the Notice.
, how do physicians deal with any objection to the score of bad practice? 1, the statement of defense.
doctor who has any objection to the contents of the Notice shall, within 3 working days from the date of receipt of the Notice, make a statement to the department that issued the Notice.
department that issues the Notice receives a statement of defence, it shall inform the physician presenting the statement within 3 working days of the result of the processing.
2, score review.
doctor who has any objection to the scoring decision shall apply to the department implementing the score for review within 30 days from the date of receipt of the Notice.
legal department that implements the scoring unit shall complete the review within 10 working days (the time required to entrust expert appraisal is not included).
if the score needs to be corrected after review, the department implementing the score shall correct the score and inform the physician who caused the review, the primary practice institution registered by the physician, and the medical and health institution where the bad practice occurred.
, the administrative department of health for bad practice score accumulated to a certain score of physicians what measures? 1, institutional interview.
one scoring cycle, when a physician's bad practice score reaches 6 points or more, the physician's main practice institution shall interview the physician within two weeks after receiving the Physician's Bad Practice Score Notice.
2, legal examination.
a scoring cycle, the physician's bad practice score reached 6 points and above, the regular assessment of this cycle applies the general procedures, and increase the health-related laws and regulations assessment content.
3, off-duty training.
a scoring period, if a physician's bad practice score has reached 10 points or more, the administrative department of health shall inform the main practicing institution and the medical and health institution for the record.
medical and health institutions that are mainly practising institutions and filings shall, in accordance with the following provisions, grant physicians 1-3 months' leave of service, during which they shall receive training and continuing medical education organized by medical and health institutions and physician associations.
(1) If a physician's bad practice score has reached 10 points and less than 14 points, he or she will leave the post for 1 month; (2) if the doctor's bad practice score has reached 14 points and less than 18 points, he or she will leave the post for 2 months; and (3) the physician's bad practice score has reached 18 points or more, and he or she will leave the post for 3 months.
4, supervision and treatment.
the cumulative score of 18 points or more for the bad practice behavior of physicians, the doctors shall be given the corresponding treatment according to the regular examination and failure of the doctor's regular examination and management measures.
, "Shanghai Physicians Bad Practice Score Management Measures" from when to implement? The Measures for the Score of Bad Practices of Physicians in Shanghai shall be implemented from February 15, 2021.
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