The State Council issued a blacklist of high-value consumables

It's not good to be blacklisted On November 18, the official website of the State Council issued the notice of the leading group of the State Council on deepening the reform of the medical and health system on further promoting the experience of deepening the reform of the medical and health system in Fujian Province and Sanming City (hereinafter referred to as the notice) According to the notice, in 2020, all localities shall strengthen the use and management of high-value medical consumables in accordance with the list of key management of high-value medical consumables formulated by the state and relevant work requirements At the same time, it is emphasized that the pilot provinces of comprehensive medical reform should make sure to achieve phased results It is understood that in 2015, the leading group of medical reform of the State Council decided to carry out a comprehensive pilot of provincial medical reform, involving 11 pilot provinces in total, including Jiangsu, Anhui, Fujian, Qinghai, Zhejiang, Chongqing, Sichuan, Shaanxi, Hunan, Ningxia and Shanghai In fact, the reform plan for the treatment of high-value medical consumables (hereinafter referred to as the reform plan) issued by the State Council on July 31 also clearly requires that the standardized management of high-value medical consumables be strengthened, the scope of treatment be clarified, and the high-value medical consumables with relatively high unit price and resource consumption shall be taken as the key object of treatment In addition, in August this year, the state health insurance bureau forwarded the report of the State Central Television Network - "breaking the false high price of high-value medical consumables, the state health insurance bureau will establish a blacklist system" Jiao Yahui, head of the medical administration bureau of the national health and Health Commission, said that after the promulgation of the reform plan, the national health and Health Commission will take the lead in determining the scope of the special treatment of high-value medical consumables In this study, some categories with more clinical applications, higher prices and more resources are selected as the focus of this special treatment According to the reform plan, the first batch of key governance lists will be completed by the end of 2019, which will be in the charge of the national health and Health Commission and the National Health Insurance Bureau When it comes to the blacklist of high value consumables, we have to mention Henan Province Henan Province is the province with the most open key management of high value consumables, and Nanyang city is the first to launch key monitoring of consumables, including 30 consumables in the monitoring list In July 2018, the former Nanyang health and Family Planning Commission issued the notice on Further Strengthening the key monitoring work of high value medical consumables in medical institutions (hereinafter referred to as the "monitoring notice"), and published the key monitoring directory of high value medical consumables, as follows: The above-mentioned "monitoring notice" shows that we should adhere to the online sunshine procurement of high-value medical consumables, and develop a monitoring catalog for high-value medical consumables with large consumption, high price and rapid cost growth In July 2018, the former Zhengzhou health and Family Planning Commission also issued the notice on Further Strengthening the key monitoring work of high-value medical consumables in medical institutions, and published the key monitoring directory of high-value consumables, as follows: On July 27, 2018, the former health and Family Planning Commission of Henan Province issued the notice on the implementation of "double ten" system management on the use of high-value medical consumables in medical institutions across the province The so-called "double ten" system is a system to monitor the top ten high-value medical consumables regulations and the top ten medical personnel in terms of the amount of use This notice will upgrade the cost control of consumables in Henan Province If the sales volume reaches the top 10 twice, it may be stopped, and the doctor who issued the bill will also be reported to the medical rectification office According to the analysis of the insiders, the key monitoring system of high-value consumables will not only affect the top ten or twenty high-value consumables, but also a large number of consumables in order to avoid too high sales, which will also have a great impact on the use of the hospital For the key monitoring directory of high value consumables in medical institutions, it is generally formulated according to the key monitoring directory of the city or province For example, the monitoring catalogue of Zhengzhou City and the above notice requirements of the former health and Family Planning Commission of Zhengzhou City, each medical institution shall determine the key monitoring varieties according to the key monitoring catalogue of high-value medical consumables of Henan Province, the key monitoring catalogue of high-value medical consumables of Zhengzhou City and the 10 key monitoring catalogue selected by itself, and in combination with the purchase of high-value consumables of the hospital According to the notice of the former health and Family Planning Commission of Nanyang City, 30 kinds of high-value medical consumables were selected and key monitoring catalogue of Nanyang city was established The selection of key monitoring directories of regions or medical institutions can be selected from the provincial and municipal directories and the existing directories of provincial pharmaceutical purchasing platforms Medical institutions at or above the county level shall, in combination with their own reality, formulate the key monitoring catalogue of their own high-value medical consumables In principle, there shall be no less than 10 kinds of product specifications in the catalogue, and those with special or less than 10 types of use in specialized hospitals shall be reported according to the actual quantity The formulation method of high value consumables key management list may be similar to that of auxiliary drugs key monitoring list Auxiliary drugs in the pharmaceutical industry, equivalent to high value consumables in the equipment industry, are high incidence areas of bribery and kickbacks In December 2018, the national health and Health Commission issued a notice, clearly requiring all medical institutions to sort the auxiliary drugs according to the annual use amount from more to less, forming a catalogue of auxiliary drugs, in principle, no less than 20 varieties, and reporting to the provincial health administrative department.