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With volume procurement, a unified recruitment platform is imperative
.
To achieve this, the implementation of "one-code connectivity" for medical devices has become a necessary condition
The "14th Five-Year" National Medical Security Plan proposes to implement the unique identification system of medical devices step by step, and expand the application of unique identification of medical devices in the fields of health and medical security
.
After the implementation of UDI, medical devices "one code, one identity", all links from source production, business circulation, to clinical use will be opened up, and recruitment, circulation, and supervision can be strengthened to the greatest extent
Disassembling and repeating the coding of consumables is prohibited
Disassembling and repeating the coding of consumables is prohibitedRecently, the National Medical Insurance Administration issued the "Notice on Prohibition of Decomposing and Re-taking Codes in the Maintenance of the Code Information of Medical Consumables for Medical Insurance" (hereinafter referred to as the "Notice")
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The content pointed out: Medical consumables maintenance companies need to sort out the product information of consumables that have been maintained and assigned codes before October 31, 2021, and merge and revise and resubmit the data that has decomposed and repeated codes
The notice emphasized that in order to ensure the authenticity, accuracy and effectiveness of the coding information of medical consumables for medical insurance, it is forbidden to decompose and retake codes in the maintenance of the coding information of medical consumables for medical insurance, and to further standardize the code maintenance work.
During maintenance, the registration certificate should be used as the basis, and the standard medical insurance medical consumables should be classified according to the main disciplines, functions, uses, materials and characteristics of the products
.
Single items under the same consumable classification cannot be maintained repeatedly .
Previously, it was common for medical devices to have no codes or one item with multiple codes in the circulation and use of medical devices, which seriously affected the precise identification of medical devices in various links such as the production, circulation, and use of medical devices, and it was difficult to achieve effective supervision and management
.
This time the National Medical Insurance Bureau has put forward targeted requirements, and the phenomenon of multiple codes for medical devices will be further curbed
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Expand the scope of uniform coding
Expand the scope of uniform codingAn authoritative person in the industry once said to Cyberlane that UDI is actually like an ID card.
Other HCBS and medical insurance codes are like a bunch of bank card numbers.
They are all connected by UDI in series.
Therefore, when designing UDI codes, Correspond to other codes
.
UDI is equivalent to the ID card of the product.
It can be bound to all management requirements.
The binding is the comparison relationship.
After the comparison, no matter which coding system is in the future, its ID card is the same
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In the trial phase, it will be applied in the production, operation, circulation and use of medical devices
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The state establishes a unique identification system for medical devices to form regulatory big data and realize the traceability of products throughout the entire process, so as to realize the entire process and all-round supervision of medical insurance, bidding, and hospitals
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With the accumulation of experience and improvement of the unique identification pilot work, the UDI work of medical devices is spreading to a wider range of categories
On September 30, 2020, the National Food and Drug Administration, the National Health Commission, and the National Medical Insurance Administration jointly issued the "Announcement on Deepening the Pilot Program and Doing a Good Job in the First Batch of Implementation of the Unique Identification of Medical Devices", requiring further advancement of the coding of medical devices
.
Since then, China's unique identification of medical devices has officially started
In September of this year, the State Food and Drug Administration, the National Health Commission, and the National Medical Insurance Bureau jointly issued the "Announcement on Doing a Good Job in the Implementation of the Second Batch of Unique Identification of Medical Devices
.
"
In terms of implementation varieties, it is proposed in the "Announcement of the National Medical Products Administration, National Health Commission, and National Medical Insurance Bureau on Deepening the Pilot Program to Do the First Batch of Implementing the Unique Identification of Medical Devices" (2020 No.
106) to stipulate the 9 categories 69 On the basis of this category, the remaining third-class medical devices (including in vitro diagnostic reagents) will be included in the second batch of unique identification scopes
.
Support and encourage other medical device varieties to implement unique identification
Starting from June 1, 2022, medical devices produced should have a unique identification of medical devices; the second batch of products that have been produced before that implement unique identification may not have a unique identification
.
The production date is subject to the medical device label
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It is foreseeable that in the future, the consumable bidding, procurement and payment links will be more unified, transparent, and refined and deepened
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Consumables procurement platform tends to be unified
Consumables procurement platform tends to be unifiedAt present, cross-regional alliance centralized procurement has become the norm.
Based on the gradual expansion of the uniform code of equipment, the establishment of a unified procurement platform has also become one of the core demands, which can maximize the realization of "quantity for price".
Can help relevant departments to supervise efficiently
.
In August, the Hebei Provincial Medical Drugs and Equipment Centralized Procurement Center issued the "Notice on the Migration of Medical Consumables Data from Four Cities including Handan to the National Platform", requiring that in accordance with the National Medical Insurance Administration's overall plan for the construction of a drug and medical consumables platform and the information construction requirements of our province, In the near future, the pharmaceutical and medical consumables platform of Hebei Province will be migrated to the National Medical Insurance Bureau platform.
All medical consumables data currently online and traded in Handan, Tangshan, Qinhuangdao and Zhangjiakou will be simultaneously migrated to the national platform
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A few days ago, the Henan Provincial Medical Insurance Bureau issued the "Notice on Doing a Good Job in Sunshine Networking of Medical Consumables".
Starting from October 1st, it adheres to a platform in the whole province.
Medical consumables required by public medical institutions at all levels must be purchased through provincial medicines.
Platform procurement
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The scope of medical consumables covers the medical consumables that have been registered and approved by the drug supervision and administration department and are required by medical institutions for clinical purposes.
They belong to the scope of the national medical insurance medical consumables classification and have obtained the corresponding codes (in vitro diagnostic reagents are temporarily implemented in accordance with the relevant requirements of Henan Province)
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In addition, not long ago, the Shandong Provincial Medical Security Bureau and the Shandong Provincial Department of Finance jointly issued the "Notice on Printing and Distributing the Implementation Plan for Direct Settlement of Medical Insurance Funds for Drugs and Medical Consumables of Medical Insurance Designated Public Medical Institutions with Pharmaceutical Enterprises
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"
Before the end of September 2021, establish a unified medical equipment settlement and supervision platform across the province, realize the supervision platform and the provincial centralized procurement platform for pharmaceutical equipment, complete the direct settlement of the medical insurance fund for the purchase of drugs and consumables, and the settlement of the medical institutions and the pharmaceutical companies for the non-volume purchase of drugs and consumables.
Online monitoring function development
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In November 2020, the National Medical Security Administration pointed out in the "Reply to Recommendation No.
7777 of the Third Session of the Thirteenth National People's Congress" that the country is advancing the establishment of a provincial-level bidding and procurement platform that integrates bidding, procurement, trading, settlement, and supervision.
, Promote the construction of a regional and national alliance procurement mechanism, and form a supply guarantee system with sufficient competition, reasonable prices, and a standardized and orderly supply
.
The National Medical Insurance Administration is coordinating the construction of a unified national medical security information platform drug and medical consumables recruitment management subsystem, realizing nationwide linkage of drug consumable recruitment, distribution, and supervision, and meeting the needs of unified coding, unified mode, unified supervision, and territorial management According to the progress of the project, the final inspection of the project will be completed before the end of 2020
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The medical security information platform is an integrated construction and two-level deployment of the state and the province
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The function of a national (or provincial) bidding platform for innovative medical device products can be realized as needed
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At present, the national medical insurance information platform has been put into use, and has been applied online in Guangdong, Qinghai, Hebei, Hainan, Guizhou, Gansu, Xinjiang, Chongqing, Hunan, Tianjin, Jilin and other provinces.
The overall operation is stable and efficient
.
It can be seen that with the continuous spread of volume procurement, the pace of coding and platforms to achieve "a game of chess in the whole country" is also accelerating
.