General office of the national health and family planning commission, issue early screening high-risk groups and cardiovascular disease Comprehensive intervention project management method (trial)
 
 
The 2014-09-11 national health and population and family planning commission of the People's Republic of China 

Countries who do CDC letter [2014] no. 780 

Liaoning, jilin, zhejiang, guangxi zhuang autonomous region, health and family planning commission:
 
According to the ministry of finance issued national health and family planning commission about 2014 public health service subsidy funds notice (wealth club [2014] no. 37) requirements, in order to ensure the cardiovascular disease risk groups work project smoothly, early screening and comprehensive intervention by commission to make a high-risk groups of the cardiovascular diseases early screening and comprehensive intervention project management measure (trial) ". Hereby printed and distributed to you, please the earnest implementation. 

General office of national health and family planning commission
On August 27, 2014 

Early screening high-risk groups and cardiovascular disease
 
Comprehensive intervention project management method (trial) 

One, the project objectives
 
(a) in liaoning, jilin, zhejiang, guangxi four provinces to develop cardiovascular disease risk groups early screening and comprehensive intervention. Each province complete screening high-risk group of 100000 people, 20000 of high-risk groups for intervention management.
 
(2) the research and evaluation of high-risk population screening for cardiovascular disease and appropriate technology for comprehensive intervention, prevention and control system and a long-term mechanism, establish and perfect the strengthening the construction of ability, work to reduce cardiovascular disease incidence, recurrence rate, morbidity and mortality.
 
Second, the project scope and time
 
(a) the scope of the project. According to the national health and family planning commission and the ministry of finance the annual work plan and budget. 2014 project areas include liaoning, jilin, zhejiang, guangxi four provinces. Each province choose five project sites to carry out the project implementation.
 
(2) the time of the project. Launch the report the work finished before the end of October, the following year the end of march to complete the project work.
 
Three, the content of the project
 
(a) project sites and screening object selection principle.
 
1. Determine the project sites. Provinces according to the actual situation in the province of five sites and sites for regional distribution is reasonable, representative, has a perfect residents' health records, has a certain foundation of project work.
 
2. Determine the number of screening. Each project sites not less than 20000 the number of annual screening, each province year not less than 100000 the number of screening. According to the local urban and rural population scale base, determine the screening task size cities and the countryside.
 
3. Determine screening object. Each project sites of 40 to 75 years (January 1, 1939 to December 31, 1974 was born) as a screening of residents.
 
(2) working content and specific requirements.
 
1. Determine the project management organization and technical institutions at the provincial level, the development of project work plan and technical solutions, clear division of labor, responsibility to the people. Projects agency under the required by the laws, regulations and ethical principles, coordinated by the project management organization, implementation of the project work.
 
2. To conduct propaganda and mobilization and health education, determine the jurisdiction of screening object list and basic information.
 
3. The screen at the beginning of cardiovascular risk factors and risk assessment object. Early screening is through questionnaire, physical examination, laboratory examination, screening targets related to cardiovascular disease risk factors, to assess cardiovascular disease risk, its main content includes: behavior risk factors investigation (e.g., disease history, smoking), blood pressure, blood total cholesterol measurement. Decision criteria based on cardiovascular disease risk groups, to cardiovascular disease risk assessment, screening object identify high-risk object.
4. For screening high-risk object for further investigation and comprehensive intervention. High-risk object investigation by questionnaire, physical examination, physical examination and laboratory examination, further understand the characteristics of disease and risk factors for individuals at risk. According to the relevant guidelines for disease control and prevention to develop personalized lifestyle intervention and drug intervention, the implementation of the health risks of continuous improvement and cardiovascular risk monitoring and comprehensive management intervention. Suspected cardiovascular disease suggested that further to the hospital make a diagnosis and give treatment. Screening for 1 month after the completion of the high risk population for follow-up.
5. After completion of field work in the day, all the screening and follow-up data, through the project information platform for reporting to the national center for cardiovascular disease.
 
Four, organize the implementation
 
(a) management institutions.
 
1. National health family planning bureau is responsible for the organization and coordination of the project work of disease prevention and control and supervision, check the implementation of security evaluation of each work. National project management office is located in the national center for cardiovascular disease.
 
2. All participating provinces (autonomous regions) the family planning administrative department of public health in the provinces (autonomous regions), the centers for disease control and prevention or cardio-cerebral FangBan set provincial project management office, responsible for the jurisdiction cardiovascular high-risk population screening and intervention work organization and coordination, elect qualified hospitals as a regional hospital, determine the project sites, the development of project work plan and arrange special funds budget, supervise the project schedule and use of funds.
 
3. The project sites are located the family planning administrative department of public health agencies responsible for determining project, jointly with the local field work, the centers for disease control and coordination, to ensure the project implementation.
 
(2) technical institutions.
 
1. The national center for cardiovascular disease is the project of national technical guidance, to be responsible for technical management of the project, organize experts to make the national technical scheme and operation manual, staff training project, cooperate with the family planning administrative department of public health to carry out the project assessment, supervise the project implementation schedule and project quality, set up information management platform, complete information summary, data analysis and project summary report.
 
2. Regional harmonious hospital is responsible for the overall coordination for all project area, develop project technical solutions and on-site manual work, the province to carry out the quality control, assist to complete the assessment and evaluation about the quality of the project sites, institutions for the project to provide technical guidance, the audit management of project data, the areas under their respective jurisdiction to complete the project summary report of the region.
 
Agency 3. The project is the project specific enforcement agencies, responsible for project implementation, including organizational mobilization, health education, to carry out high-risk object investigated, high-risk object individualized intervention and follow-up management, data collection, report to project.
 
Five, the funds management
 
(a) project funds arranged by the central government. Each participating provinces (autonomous regions) to coordinate the family planning administrative department of public health finance departments, actively strive for matching funds, in order to ensure the smooth implementation of projects.
 
(2) projects of the central government allocated funds, shall, in accordance with the actual number of high-risk population screening and intervention, the implementation of the project to undertake, screening for each individual.
 
(3) projects, institutions should reasonable arrangement and use of special funds, special fund is special, not beyond spending. In violation of provisions, misrepresentation, collecting, intercept, squeezed occupy, divert, project funding, units and individuals in accordance with the relevant provisions of the state.
 
(4) after the completion of the project, the ministry of finance and the family planning administrative department of public health officials to audit project financial revenues and expenditures, and so on and so forth, also can entrust a third party audit. Audit found unreasonable fees, shall be borne by the project organization, its own funds; Reimbursement of expenses, shall be refunded.
 
Six, quality control
 
(a) in strict accordance with the project technical scheme for personnel training, training work until they have passed the examinations. Each link working staff shall have corresponding qualifications and work experience.
 
(2) all items are required to take to set up quality control, ensure the quality of the project completion. Screening after the completion of the subject to confirmation of all screening information is complete and correct quality control member can be the end of the screening.
 
(3) the project subject to the provinces (autonomous regions) of information gathered behind the project management office and regional harmonious hospital audit can be submitted to the national center for cardiovascular disease.
 
(4) the national center for cardiovascular disease during the project operation not regularly send expert working group, to strengthen the guidance of the local. The provinces (autonomous regions) project management office timely organization expert guidance was carried out on the field work of the project sites, find and solve the problems in the work in time.
 
Seven, supervision and evaluation
 
(a) the national health family planning bureau in conjunction with the national center for cardiovascular disease of CDC experts, through the way of spot check, the provinces (autonomous regions) and usage of funds for the progress of the project supervision inspection. Core completion, including screening high-risk groups assessment index detection, high-risk groups follow-up rate, etc.
 
(2) the participating provinces (autonomous regions) of the project management office should strengthen the project organization, progress, implementation process, effects, and funds of the supervision and examination of usage, coordinate to solve the problems in the process of project.
 
(3) the program year after the end of each participating provinces (autonomous regions) project management office to this year's project execution, including project performance, problems and the use of funds, the formation of summary report submitted to the national health family planning bureau of CDC and the national center for cardiovascular disease.