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    Home > Active Ingredient News > Drugs Articles > The implementation plan of GPO procurement in Guangzhou spread in the medical circle

    The implementation plan of GPO procurement in Guangzhou spread in the medical circle

    • Last Update: 2018-04-08
    • Source: Internet
    • Author: User
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    Source: before April 8, 2018, a red headed document marked "urgent" and titled as Guangzhou Municipal Bureau of human resources and social security was widely circulated in the medical circle This document is the notice of Guangzhou Human Resources and Social Security Bureau on printing and distributing the implementation plan of drug group procurement of medical institutions in Guangzhou Guangzhou GPO came as early as last July The general office of Guangzhou municipal government printed and distributed the notice on the implementation plan of comprehensive reform of public hospitals in Guangzhou, defining 21 reform measures Among them, it refers to the implementation of centralized procurement of drugs (medical consumables) Including: to increase the functions of Guangzhou Municipal Human Resources and Social Security Bureau in formulating the procurement and distribution policies of drugs (medical consumables) in Guangzhou, organizing and coordinating the centralized procurement of drugs (medical consumables) in public medical institutions, and to increase the functions of Guangzhou municipal medical insurance service administration in organizing and handling the centralized procurement of drugs (medical consumables) Relying on the Guangzhou public resources trading center to establish a GPO (drug centralized procurement organization) platform, and in accordance with the requirements of centralized procurement with volume, we will promote the unified organization of drugs (medical consumables) in public hospitals in Guangzhou, centralized bidding procurement, implementation of unified distribution, reduce circulation links, and control the cost of drugs (medical consumables) This time, the online documents set a schedule for the construction and implementation of GPO The plan is divided into transition time and implementation period: before the end of June, formulate the GPO Trial Measures and supporting documents of catalog, distribution, settlement, supervision and other policies, establish the pharmaceutical expert database, determine the GPO procurement platform and supervision platform program, and implement funds From July to September, the GPO procurement platform was built, testing was completed, procurement catalogue was prepared, and drug hierarchical grouping was carried out In October, GPO was launched, and drug procurement was switched to Guangzhou GPO platform for trial operation Led by the human resources and Social Security Bureau and medical insurance bureau, according to people close to Guangzhou Bureau of human resources and social security, this online document has a high credibility In the context of the adjustment of national institutions, the establishment of the national medical insurance bureau and the purchase of drugs, this document will be the focus of attention for the industry According to online documents, GPO in Guangzhou will be led by human resources and social security department and medical insurance department, which is quite different from GPO in Guangdong drug exchange and Shenzhen In the past, the health sector and the human resources and social sectors debated about who should be in charge of the drug procurement Now the national institutional reform plan gives the answer, which will be taken over by the health insurance bureau On the one hand, it reflects that "who pays, who runs the market", and the payment can be collected in 30 days as much as possible; on the other hand, under the realistic medical insurance fund, the way of closely binding the bid winning price of drugs and the payment standard of medical insurance will be adopted to maximize the interests of all parties Up to now, in addition to Guangzhou, Guangdong Province has announced the implementation of GPO procurement in Shenzhen, Dongguan, Foshan and Guangzhou Dongguan has been incorporated into the Shenzhen GPO platform for cross regional joint procurement, and the operator of Shenzhen GPO, quanyao.com, is also actively expanding the business of other cities in the province; Foshan City Social Security Bureau (Medical Insurance Center) is clearly responsible for the centralized procurement organization of drugs and medical consumables of public medical institutions in the city, and is responsible for building the sunshine centralized procurement management service platform of drugs and medical consumables in Foshan City The centralized procurement service unit for medical consumables shall be determined through public bidding As the purchase mode of quantity for price, GPO mode has made great contribution to drug price reduction Shanghai is the first city to carry out GPO procurement According to media reports, the first batch of GPO procurement in Shanghai was mainly anti microbial drugs, with an overall decrease of about 20.8% of the procurement amount It can be predicted that with GPO in Guangzhou, price reduction is also a helpless choice for pharmaceutical companies Finally, please pay attention to the point of "unified group, centralized bidding and procurement, and unified distribution in public hospitals" The meaning of "unified distribution" is worth studying Appendix: the implementation plan of drug group procurement of medical institutions in Guangzhou (online transmission) to improve the drug procurement of public medical institutions is an important content and key link of deepening the reform of the medical and health system It is of great significance to accelerate the reform of public hospitals, establish and improve the drug supply guarantee system, and reduce the drug burden of the masses According to the spirit of relevant national and provincial documents and the requirements of the notice of General Office of Guangzhou Municipal People's Government on printing and distributing the implementation plan of comprehensive reform of public hospitals in Guangzhou (SFB [2017] No 30), this plan is formulated in combination with the actual situation in Guangzhou 1、 Guiding ideology We will fully implement the spirit of the 19th National Congress of the Communist Party of China, under the guidance of socialism with Chinese characteristics in the new era, thoroughly implement the spirit of the state's important instructions and instructions to Guangdong, conscientiously implement the spirit of the national health and health conference, closely focus on the goal of deepening the reform of the medical and health system, and based on the innovation drive in accordance with the general requirements that the market plays a decisive role in resource allocation and better plays the role of the government We will promote reform and development, establish and constantly improve the drug purchase, settlement and circulation system that is consistent with the characteristics of medical services in Guangzhou, build a new model of drug supply guarantee in Guangzhou, and give full play to the agglomeration and radiation role of Guangzhou as an important national central city 2、 Scope of implementation: public medical institutions in Guangzhou (except military and armed police medical institutions stationed in Guangzhou) participate in the procurement of Guangzhou Pharmaceutical Group, and other designated social insurance medical institutions other than public medical institutions are encouraged to participate Military and armed police medical institutions stationed in Guangzhou and other medical institutions can participate according to relevant regulations and procurement needs 3、 Objectives (1) to enhance the ability of drug supply and guarantee, strengthen the comprehensive supervision of drug procurement process, improve the standardization, scale, intelligence and sunshine level of drug supply and guarantee the quality and supply of drugs (2) We will improve the level of clinical rational use of drugs, improve the regulatory mechanism for clinical use of drugs in public medical institutions, promote the safety, effectiveness, economy and suitability of clinical use of drugs, reduce the proportion of drug costs in medical institutions, and improve the level of clinical rational use of drugs (3) We will strengthen the role of medical insurance in controlling costs, and ensure that medical insurance gets involved in and manages all aspects of drug purchase, circulation, use and payment We will give full play to the role of medical insurance in supervising and restricting drug production and marketing enterprises, medical institutions and medical personnel, guide and regulate the behaviors of all parties, control the unreasonable growth of drug costs, and promote the sustainable and healthy development of medical insurance (4) Gradually reduce the burden of drug use of the people through the comprehensive measures such as further reducing the drug price through centralized procurement, strengthening the monitoring of key drugs, promoting rational drug use, and implementing the two vote system to standardize the circulation link, and gradually reduce the burden of drug use of the people 4、 Main tasks and division of responsibilities (1) establish drug group procurement mode We will implement classified drug procurement, improve drug procurement and supply mechanisms, ensure reliable drug quality and reasonable price, and ensure stable and timely drug supply 1 Establish group procurement management specifications To formulate the Trial Measures for drug group procurement of medical institutions in Guangzhou, standardize the transaction, distribution, settlement and supervision of drug group procurement, and clarify the rules, procedures and supervision and management measures for the determination of drug group procurement catalogue Set up a pharmacy expert database, prepare the procurement catalogue of Guangzhou medical institutions Pharmaceutical Group in combination with clinical practice, and clarify the generic name, dosage form, specification and procurement method of the purchased drugs Carry out group purchasing of drugs, implement group purchasing based on group bidding or centralized negotiation, explore and entrust the third party to purchase uniformly, produce and distribute at designated points, improve the drug supply guarantee mechanism, and enhance the supply guarantee ability of drugs, especially clinically necessary drugs and drugs in short supply in the market (led by the municipal human resources and Social Security Bureau, coordinated by the municipal development and Reform Commission, the health and Family Planning Commission, the food and drug administration, and the medical insurance bureau) 2 Build the drug group procurement platform for medical institutions in Guangzhou Guangzhou public resources trading center will give full play to its characteristics and expertise in public procurement bidding and trading services, establish a pharmaceutical group procurement platform for Guangzhou Medical Institutions (hereinafter referred to as Guangzhou GPO pharmaceutical procurement platform), integrate information maintenance, online bidding, human-computer negotiation, order distribution, contract management, procurement transaction, settlement and payment, and early warning of drug shortage monitoring report Yes, connect with relevant regulatory platforms, and provide social services such as information release, public inquiry, information filling and supervision of complaints Actively explore the provincial and municipal cooperation mode with Guangzhou as the main city and basic data exchange and sharing (led by Guangzhou public resources trading center, coordinated by the municipal development and Reform Commission, the industry and Information Technology Commission, the Finance Bureau, the human resources and Social Security Bureau, the industry and Commerce Bureau, the food and drug administration, and the health insurance bureau) (II) standardize the distribution and circulation of drugs We will implement the two ticket system, reduce the circulation of drugs, increase the investigation and punishment of tax related crimes such as false invoices, standardize drug distribution, improve the ability to guarantee drug supply, and ensure the timely and sufficient supply of drugs To implement the requirements that drug manufacturing enterprises are the main body responsible for supply and distribution, to guarantee the right of drug manufacturing enterprises to choose distribution enterprises independently, to guide drug manufacturing enterprises and medical institutions to choose distribution enterprises openly, reasonably and centrally, to timely publish the list of distribution enterprises selected by drug manufacturing enterprises and medical institutions, and to accept social supervision (led by the Municipal Food and drug administration, supported by the municipal development and Reform Commission, the human resources and Social Security Bureau, the Commerce Commission, the health and Family Planning Commission, the State Administration of Taxation, the industrial and commercial bureau, and the medical insurance bureau) (III) build a whole process dynamic supervision system Strengthen the supervision and management of all parties involved in the GPO drug procurement platform, drug manufacturers, distribution enterprises and medical institutions in Guangzhou, realize the information interconnection with the medical insurance agency, health and family planning, drug supervision, price monitoring and other departments, give full play to the advantages of information sharing and integration, carry out dynamic supervision throughout the whole process, and actively open to the public and accept social supervision 1 Build Guangzhou GPO drug comprehensive supervision platform In connection with Guangzhou GPO drug procurement platform, medical institution information management system and medical insurance business management system, online real-time supervision is implemented on the quantity and price of drug procurement, quality and safety, supply guarantee, clinical application, etc of medical institutions, and regular statistical analysis and timely summary and disclosure are carried out Gradually establish the pharmacoeconomic evaluation system, use the big data of drug clinical application to evaluate the cost-benefit of drug safety, effectiveness, rationality and economy, and improve the level of drug procurement catalogue (led by the Municipal Health Insurance Bureau, coordinated by the Municipal Industry and Information Technology Commission, human resources and Social Security Bureau, Finance Bureau, health and Family Planning Commission, food and drug administration, municipal development and Reform Commission, and Guangzhou Public Resources Trading Center) 2 Strengthen the comprehensive supervision of the whole process of drug procurement (1) We will deepen departmental cooperation, establish a normal coordination mechanism, intensify the sampling of drug quality, timely publish the results of the sampling, strengthen the whole process quality supervision, strengthen the monitoring of adverse drug reactions, and ensure the quality and safety of drugs (led by the Municipal Food and drug administration, cooperated by the municipal human resources and Social Security Bureau, the health and Family Planning Commission, and the medical insurance bureau) (2) establish a scientific and reasonable assessment management system to regulate the behaviors of drug production and operation enterprises in the whole process of procurement, such as registration, bidding, price negotiation, distribution, and contract execution Strictly implement the credit record, punishment system, market exit and market entry prohibition system, and timely announce the relevant information to the society (led by the Municipal Health Insurance Bureau, led by the municipal development and Reform Commission, the industrial and Information Technology Commission, the human resources and Social Security Bureau, the Commerce Commission, the health and Family Planning Commission
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