The level classification evaluation and expert management method of electronic medical record system have come

February 3, the Hospital Management Research Institute of the National Health And Health Commission issued the Notice of the Hospital Management Research Institute of the National Health And Health Commission on the Issuance of Procedures for the Application of Electronic Medical Records System and the Measures for the Management of Experts (hereinafter referred to as the Notice)."Notice" pointed out that the National Health and Health Commission is responsible for the management of the national graded evaluation work, the specific work of the National Health And Wellness Commission Hospital Management Research Institute (hereinafter referred to as the "Hospital Research Institute") to undertake. The provincial health administrative departments shall be responsible for the graded evaluation work within their respective jurisdictions and may entrust their institutions (hereinafter referred to as "provincial units") to undertake specific work. In accordance with the management principles of "institutionalized, paperless and closed-loop", the Hospital Research Institute has developed the "Electronic Medical Record Rating Evaluation Platform" (hereinafter referred to as the Evaluation Platform) (https://sjzx.niha.org.cn/) and opened its authority to provincial and medical institutions. The graded evaluation work has four evaluation links: user registration, data filling, provincial audit and national audit. The account information of provincial units is distributed uniformly by the evaluation platform.The Notice requires provincial units to set up a library of provincial evaluation experts and report it to the Hospital Research Institute for the record, and to organize and carry out provincial audits of medical institutions within their jurisdictions in accordance with the provisions. Medical institutions with a self-assessment level of 0-4 shall be audited by provincial evaluation experts under the organization of the provincial units and fill in expert opinions through the evaluation platform. Audits are downgraded as appropriate on the basis of expert advice by maintaining the original self-assessment level and non-passing of audits. After the hospital research institute has completed this year's spot check, the provincial units shall announce the results of the provincial audit to the medical institutions, and shall not publish them in advance without authorization. Medical institutions with a self-assessment level of 5 or above shall conduct initial examination of the authenticity of their materials by provincial units and fill in expert opinions through the evaluation platform;"Notice" also clearly proposed that the hospital research institute will be 0-4 level provincial audit results on an annual basis to monitor spot checks. If the spot check fails, the evaluation results of the medical institution shall be cancelled. If the failure rate exceeds 30%, all the results of the province's audit for the current year shall be rejected and re-audited by the province within the required time limit. The Hospital Research Institute conducts annual supervision and spot checks on medical institutions that have passed level 5 or above of national audit. If the spot check fails, the evaluation results of the medical institution shall be cancelled.The following is the full text of the Notice:Notice of the Hospital Management Research Institute of the National Health And Health Commission on the Issuance of the Procedures for the Application of the Electronic Medical Record System and the Management of ExpertsNational Health Care Research Letter (2021) No. 7Provincial, Autonomous Region, Municipalities directly under the Central Government and Xinjiang Production and Construction Corps Health and Medical Administration (Bureau), relevant Units:In order to further standardize the application level rating of China's electronic medical record system, in accordance with the Electronic Medical Record System Application Level Rating Evaluation Management Measures (Trial) (National Health Service Medical Letter (2018) No. 1079), our organization has formulated the Electronic Medical Record System Application Level Rating Evaluation Procedure and the Electronic Medical Record System Application Level Evaluation Expert Management Measures, approved by the National Health and Health Commission , you are now issued, please refer to the implementation.Annex: 1. Procedures for the Application of Level Grading Evaluation of Electronic Medical Record Systems 2. Expert Management Measures for the Application of Level Evaluation of Electronic Medical Records SystemsInstitute of Hospital Management, National Health And Health CommissionFebruary 2, 2021Annex1:Electronic Medical Record System Application Level Rating Evaluation ProcedureWe will accelerate the information construction of medical institutions at all levels with electronic medical records as the core, and formulate these working procedures in accordance with the Measures for the Administration of The Application of Electronic Medical Records Systems (Trial) and evaluation Standards (Trial) (National Health Care Administration Medical Letter (2018) No. 1079).Article 2 The administrative departments of health and health at all levels involved in the graded evaluation work, as well as their affiliated institutions and relevant medical institutions, shall apply these working procedures.Article 3 The State Health and Health Commission shall be responsible for the management of the national graded evaluation, and the specific work shall be undertaken by the Institute of Hospital Management of the State Health and Health Commission (hereinafter referred to as the "Hospital Research Institute"). The provincial health administrative departments shall be responsible for the graded evaluation work within their respective jurisdictions and may entrust their institutions (hereinafter referred to as "provincial units") to undertake specific work.Article 4 The principles of objectivity, impartiality, science, standardization and transparency shall be adhered to in the hierarchical evaluation of electronic medical records systems.Article 5 The Hospital Research Institute shall, in accordance with the management principle of "institutionalized, paperless and closed-loop", develop the "Electronic Medical Record Grading Evaluation Platform" (hereinafter referred to as the Evaluation Platform) (https://sjzx.niha.org.cn/) and open its corresponding authority to provincial units and medical institutions.Article 6 The graded evaluation work has four evaluation links: user registration, data filling, provincial audit and national audit, each with several specific steps.Chapter II User RegistrationArticle 7 When a medical institution logs in for registration for the first time, it is required to provide basic information of the unit, the provincial units shall carry out information verification, and the hospital research institute shall complete the examination. Upon receipt of the registration success notice and account information, the password should be changed in time to ensure the security of the account. In the event of a change in basic information, you should log in to your account in time to make changes.Article 8 Account information of provincial units shall be distributed uniformly by the evaluation platform. Upon receipt of the account information, the password should be changed in time to ensure the security of the account.Chapter III Data FillingArticle 9 Provincial units shall, in accordance with the deployment requirements of the National Health and Health Commission, organize medical institutions to log on to the evaluation platform within the prescribed time limit to fill in the relevant contents.Article 10 Medical institutions first fill in the "basic data" and then fill in the "EMR data" and "data quality assessment" in turn.Article 11 After a medical institution clicks on the "Confirmation report" button, the evaluation platform automatically generates an analysis report, giving the medical institution's electronic medical record system self-assessment level and score, as the end of this link.Article 12 Once a medical institution has confirmed the report, it may not change the data in principle, and if it does need to be modified, it may modify it once before the end time stipulated in this link;Chapter IV Provincial AuditArticle 13 Provincial units shall set up a provincial evaluation pool of experts and report it to the Hospital Research Institute for the record, and organize and carry out the provincial audit work of medical institutions within the jurisdiction in accordance with the provisions.Article 14 Medical institutions with a self-assessment level of 0-4 shall be audited by provincial evaluation experts under the organization of the provincial units and fill in the expert opinions through the evaluation platform. Audits are downgraded as appropriate on the basis of expert advice by maintaining the original self-assessment level and non-passing of audits. After the hospital research institute has completed this year's spot check, the provincial units shall announce the results of the provincial audit to the medical institutions, and shall not publish them in advance without authorization.Article 15 Medical institutions with a self-assessment level of 5 or above shall conduct a preliminary examination of the authenticity of their materials by the provincial units and fill in the expert opinions through the evaluation platform; the results of the initial examination at the provincial level shall be promptly fed back to the medical institutions, and the first nuclear examination shall be approved for entry to the national level for examination, and undecided shall be relegated according to the expert's opinions as appropriate.   Article 16 Provincial units shall complete the provincial examination within the prescribed time, and if they fail to complete it within the time pass, they shall be regarded as if the medical institutions in the jurisdiction have no achievements.   Chapter V State Audit 17 Hospital Research Institute shall be responsible for the formation of a national pool of evaluation experts and shall organize and carry out state-level audit work in accordance with the provisions.   Article 18 The state-level audit links include empirical material audit (hereinafter referred to as "data audit") and practical application audit (hereinafter referred to as "practical audit").   Article 19 Evaluation experts at all steps of state-level examination shall be randomly selected from the national pool of evaluation experts, with a number of 3 or more individuals. The evaluation platform should record the extraction process, the final list and the expert audit opinion in the background.   Article 20 Procedures for the examination of information. Medical institutions that pass level 5 or above of the provincial primary nuclear examination shall submit the following materials through the evaluation platform within 7 working days after the initial nuclear examination: (i) data extraction list;   The material will not be changed after it is submitted.   Article 21 Practical examination steps. Practical audit to on-site audit-based, in case of special circumstances should not be carried out on-site audit, can be replaced by remote audit, and before the start of the audit timely notify the appropriate medical institutions, the two audit methods have the same effect. Medical institutions should prepare in advance, including personnel, materials, software and equipment, as required by the notice.   Article 22 The state-level audit link shall set up a publicity period. The list of medical institutions that have passed the full audit process will be published on the evaluation platform for a period of 7 working days. At the same time, the evaluation platform will participate in the national evaluation of the medical institutions (including failed audit) feedback data audit, practical audit results and audit opinions. Before the public announcement, the data audit results and other intermediate step work information is not separately feedback to medical institutions. If there is any objection to the results of publicity and feedback, the opinions and supporting materials may be submitted in real name during the publicity period, and the hospital research institute shall review the results with the provincial units involved in the objection and give timely feedback on the results. If there is no objection to publicity, or if there is any objection to publicity and the final results have been reviewed, the final results shall be published after the hospital research institute has reported it to the National Health and Health Commission for the record.   Chapter VI Supervision and Management Article 23 Relevant text, video and other materials of the state-level audit link shall be kept and archived by the Hospital Research Institute for a period of not less than 3 years.   Article 24 If a medical institution has the following circumstances, it shall terminate the evaluation and inform the provincial unit in which it is located, deal with it in accordance with relevant laws and regulations, and suspend its evaluation declaration for the following year: (1) Violate the system of graded evaluation work, take irregular acts, and affect the fairness and fairness of the evaluation; (2) interfering with the work of evaluation experts through abnormal means, such as higher authorities, other medical institutions, academic associations, system suppliers, etc.; (3) providing false evaluation materials, falsifying or copying relevant materials, etc.; (iv) refusing to cooperate with the examination requirements of various links, maliciously hindering the graded evaluation work, resulting in adverse effects;   (5) If a violation is reported and found out.   Article 25 The Hospital Research Institute shall conduct annual supervision and spot checks on the results of provincial audits at the 0-4 level. If the spot check fails, cancel the medical institution