2016 in-depth implementation scheme for key action plan to further improve the medical service of notice

The national health and family planning commission of the People's Republic of China

The 2016-04-20

Countries who do medical letter [2016] no. 362

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps health bureau:

For further implement the spirit of the fifth plenary session of the party's 18, pushing forward the construction of the health of China in accordance with the "about printed and distributed to further improve the medical service action plan notice who medical hair [2015] no. 2 (countries) and on the printed and distributed to further improve the medical service action plan implementation plan (2015-2017) notice (countries who do hair [2015] no. 33) the relevant requirements, improve the medical service in 2015 to consolidate achievements, on the basis of by organization developed the in-depth implementation of 2016 key action plan to further improve the medical service work plan (which can be downloaded from the national health and family planning commission medical medical tube columns). Hereby printed and distributed to you, please do a good job to organize the implementation.

The national health and family planning commission contacts: medical hospital authority leah, rui-rong hu, wang yi

Telephone: 010-68791875, 68791887

Fax: 010-68792963

Email address: bmaylzyc@163.com

The state administration of traditional Chinese medicine contacts: the department Qing-bin meng

Telephone: 010-59957680

Fax: 010-59957684

Email address: yizhengsiyichu@126.com

General office of national health and family planning commission

On April 11, 2016

In-depth implementation in 2016 to further improve the medical service

A plan of action key work plan

For further implement the spirit of the fifth plenary session of the party's 18, pushing forward the construction of the health of China in accordance with the "about printed and distributed to further improve the medical service action plan notice who medical hair [2015] no. 2 (countries) and on the printed and distributed to further improve the medical service action plan implementation plan (2015-2017) notice (countries who do hair [2015] no. 33) the relevant requirements, improve the medical service in 2015 to consolidate achievements, on the basis of further implement to improve medical services action plan (hereinafter referred to as" action plan "), making this plan.

A, work background

"Further improve the medical service action plan" implemented over the past year, according to the unified deployment, on the basis of consolidating always work, innovative introduced a lot of the convenience and benefit huimin measures made staggered results. One is the further optimize medical service process. By the end of 2015, 1238 tertiary hospitals across the country have set up information, provide patients with information query and recommendation; 660 tertiary hospital by mobile phone APP, WeChat payment methods such as settlement, convenient patients, alleviate queue times patients, shorten the queue time. 2 it is medical service mode innovation further. For ambulatory surgery, ZhuanBing outpatient and multidisciplinary joint outpatient service mode, improve the service efficiency. By the end of 2015, nearly 100 medical institutions to establish the national ambulatory surgery center. 3 it is to further standardize the medical service behavior. By the end of 2015, there were 1599 4563 tertiary hospitals, secondary hospitals in clinical pathway management. By the end of September 2015, the national tertiary hospitals are all carried out high quality nursing service, there are 1036 level of first-class hospital floor covering, account for 89.4% of the total number of national level of first-class hospital; There are 5207 secondary hospitals to carry out the quality of nursing service, 90.9% of the national secondary hospital. Four is hospitalized more efficient and convenient. By the end of 2015, the national tertiary hospital appointments diagnosis rate averaged 32.1%. Five is trying to build a harmonious doctor-patient relationship. By the end of 2015, there were 13632 medical institutions to carry out social work services, 19195 medical institutions to carry out the volunteer service. The insurance "" three mediation growing to prevent medical dispute processing mechanism. The number of medical disputes occurred in 2015 fell 1.8% year on year, the people's conciliation treatment 71000 cases in medical disputes, more than 85% success rate.

Second, the key work to improve medical services in 2016

(a) scope of work. All kinds of medical institutions at all levels, the key to major urban tertiary hospital.

(2) the key work content. Continue to implement the action plan to improve medical services. Focus on booking in 2016 diagnosis and treatment, ambulatory surgery, medical quality, settlement, information push service, pharmaceutical service, emergency first aid, high-quality care, Chinese medicine health care, humanistic care 10 work, efforts to improve the medical service level, improve the people's hospital.

1. The full implementation of appointment diagnosis and treatment. Full implementation of appointment of the third class hospitals medical services, and constantly improve the diagnostic rate of booking, bypass patients effectively, improve patient treatment experience. One way is to provide a variety of booking diagnosis and treatment. Through the network, telephone, window, diagnosis, community health service institutions in a variety of ways, such as between a variety of ways, provide patients with convenient reservation medical services, make an appointment with more convenient. Second, implementation period of time to make an appointment. Arrange an appointment time to the patient, on the basis of the "make an appointment first", through careful measure time, improve the accuracy of the visits, to make an appointment time accurate to hours, make an appointment for patients to effectively shorten the waiting time. 3 it is to explore the real-name appointment diagnosis and treatment. Step by step to strengthen the identification and registration management, effectively strengthen the source management, curb speculation, source phenomenon, effectively improve register patient experience. Four is to strengthen follow-up patients reserve management. Provide convenient clinic and make an appointment, the appointment booking way, reasonable arrangement of visit time to the patient, with first booking peak clinic patients, improve the efficiency of diagnosis and booking.

2. Step by step implementation of ambulatory surgery. Tertiary hospital phase in ambulatory surgery, optimize medical service process, improve the efficiency of medical service, on the premise of guarantee medical quality and safety, of ambulatory surgery patients to provide efficient services, alleviate patients' hospital "and" operation difficult "problem. One is the active public ambulatory surgery diseases and operation list, provide patients with ambulatory surgery information open and transparent. Adhere to the principle of voluntary patients, under the condition of patients' informed consent, for the implementation of ambulatory surgery patients. Strengthen the patients health knowledge propaganda, guide the patients gradually daytime operation mode. 2 it is to straighten out the internal business processes. For ambulatory surgery to provide the necessary facilities, manpower and material resources to support, to explore establishing ambulatory surgery center, as a whole allocate health resources, perfect the relevant management system, optimize the process to the patient, improve the utilization efficiency of health resources. Three is a couplet of medical as the breakthrough point, bridging the grading system. Tertiary hospitals is formed within the medical conjoined with secondary hospital, grassroots medical and health institutions collaboration mechanism, build system of patients with postoperative follow-up, to guide subordinates do patients with postoperative rehabilitation, medical institutions and open surgery in the day the green channel for basic medical and health institutions, gradually formed "surgery at the hospital, rehabilitation in the community" "acute slow partition, the upper and lower linkage" hierarchical diagnosis model. By commission will jointly with relevant departments to formulate specific work plan.

3. Continue to improve medical quality. Work closely around we will deepen reform of the medical and health system requirements, improve medical quality of special activities. In improving the medical service system and promoting the construction of the grading system, to strengthen the key diseases and medical technology, strengthening quality management and cost effectiveness control platform to professional medical quality management and control, medical quality in the process of adopting the disease classification diagnosis and continuous management, strengthen quality management of ambulatory surgery, and gradually enhance the level of basic medical quality and safety as the key point, to further establish and improve the medical quality management and control the working mechanism, to carry out the system of resident standardization training, innovative medical quality continuous improvement methods, the formation of government regulation, institutional autonomy, self-discipline, social supervision and the new pattern of multiple work, improving the quality of medical treatment, ensure medical safety, protecting the health of the people's rights and interests. The concrete implementation plan shall be issued separately.

4. A variety of forms of information push. To strengthen the construction of informationization, through the new media, the micro platform, phone messages, telephone calls and such way to provide medical information push service, patients with more open, transparent access to information. The outpatient waiting, diagnosis and treatment of patients with medical information, booking for special inspection, special treatment and surgery patients before and after of perioperative clinical relevant information. Promote use WeChat, text messaging and other forms to prompt abnormal examination test results. On the premise of ensuring patients privacy, through self-help, network printing, mobile phone information, phone to query, and other forms, to provide inspection results for patients, and see a doctor, medicines, unit price, total cost of the service.

5. Convenient payment. One is the settle accounts of expense of optimization process. Ready to enter and leave hospital formalities deal with appointment and clearing time, reduce patient waiting. For hospitalized patients bedside, the nurse station, different discharge fee settlement way, such as clearing the window gradually raising bed settlement ratio. Coordinating departments and for health care and other departments, the health care real-time settlement, on the basis of gradually achieve patients pay pay fees can deal with leave hospital formalities, the patient was discharged more convenient. The second is to provide convenient settlement of payment. Exploration using the attendance card, a variety of payment, such as union pay deposit by consulting room, clinic and settlement of charge to an account, mobile phones and other mobile devices to pay health care costs, reduce patient queuing to expend, shorten the waiting time, patients and settlement more convenient.

6. Pharmaceutical affairs service security. Use the information means to strengthen the guidance for the rational use of drugs. Through various channels, such as multimedia, artificial window, to provide guidance for the rational use of drugs to patients, patients with drug use more secure. Explore provide self-service gets, WeChat platform, such as a variety of ways, scanning drugs bar codes and qr code can query drugs usage, dosage, use information, such as the matters needing attention, guiding patients rational drug use. In take medicine area such as window, the outpatient service hall set all kinds of multimedia equipment, using plain language to enhance the promotion of rational drug use.

7. Emergency first aid seamlessly. First-aid center (station) to give full play to the command and dispatch in the pre-hospital emergency medical treatment work, reasonable adjust the ambulance, strengthen pre-hospital emergency rapid response, reduce emergency response time. Standardize medical first aid, in strict accordance with the "nearby, is urgent, can meet the needs of professional and patient will give attention to two or morethings" principle of transhipment patients. The hospital should strengthen the emergency power and improve the ability of emergency services. Accepts the hospital to open a green channel for pre-hospital first aid, and strengthen hospital information sharing and pre-hospital emergency care and medical services, cohesion, realize seamless, don't shuffle, rejected emergency patients.

8 and thorough going efforts to promote high-quality care. All kinds of medical institutions at all levels continue to deepen the "patient-centered" service concept, implement the responsibility system for the overall care, continue to improve nursing service. Nurse to use professional knowledge and skills for the masses to provide medical care, observation, health guidance, slow disease management, promote recovery, psychological care and other services, reflect humanistic care and nursing connotation, continuously improve the quality of nursing. At the same time, the medical institutions according to the function orientation, service radius, bed size, clinical nurse manpower, workload and other scientific and reasonable configuration to meet the demand of clinical work. Common ward nurses and the actual total open beds is no less than 0.4:1; ZhenLiaoLiang outpatient department according to the patients, such as model for the rational allocation of nurses, nursing quality and medical safety.

9. Giving full play to the advantages of characteristics of traditional Chinese medicine. Medical institutions to actively push forward the traditional Chinese medicine diagnosis and treatment of traditional Chinese medicine mode innovation, exploring the establishment conforms to the TCM academic characteristics, is conducive to play special advantage and improve the clinical curative effect of traditional Chinese medicine of traditional Chinese medicine, convenient masses hospital of traditional Chinese medicine diagnosis and comprehensive treatment, many professions such as model. Medical institutions to improve the service ability of traditional Chinese medicine, give full play to the role of TCM in disease prevention and control, to strengthen the construction of clinical departments and TCM pharmacy of traditional Chinese medicine and meet the needs of traditional Chinese medicine (TCM) in patients with medical services; Encouraged to optimize medical service process based on the characteristics of TCM diagnosis and treatment, shorten the patient take medicine such as link waiting time. Encouraged to provide patients with traditional Chinese medicine (TCM) individualized drug processing and other personalized services.

10. The construction of a harmonious doctor-patient relationship. Vigorously promote the construction of hospital culture, to carry out health education and risk communication with a variety of forms, such as, hospital culture should be utilized to the guiding role of building a harmonious doctor-patient relationship. To improve the medical staff about the importance of doctor-patient communication and humanistic care, to strengthen the medical humanistic education and training, improve the communication ability and service consciousness. Understand the patients psychological needs and changes, timely to mission, interpretation and communication. For children, women, and major chronic diseases in the hospital patients to establish and improve the mechanism of doctor-patient communication, to provide specialized subject characteristic of social workers and volunteers service, strengthen the psychological counseling and humanistic care related services, give full play to social workers and volunteers in the bridge and link role of doctor-patient communication.

Third, work requirements

(a) to strengthen organizational leadership, coordinating departments. Provincial family planning administrative department of public health should attach great importance to improve the medical service work, strengthen organizational leadership, strengthen the implementation of the responsibility. In the process of deepening reform, strengthen communication and coordination with medical care, commodity price departments, work closely cooperate, improve supporting measures, establish incentive mechanism, strive for ambulatory surgery overall cost should be brought into the scope of coverage, create policy environment for the operation in the daytime.

(2) adhere to the problem oriented, continue to improve service. All kinds of medical institutions at all levels to further implement the action plan, on the basis of the consolidated 2015 result, innovative measures to promote the convenience and benefit huimin, emphasis of informationization means convenient patients go to a doctor. Major urban tertiary hospital problem oriented, sift in patients with medical services in 2015 reflects the problems of the strong, improvement measures are put forward, the improvement measures and service commitments, ward and other public areas of the public in outpatient service, continuously improve the medical service, to further improve patient treatment experience, enhance the masses get feeling.

(3) strengthen the supervision inspection, pay attention to actual effect. Provincial family planning administrative department of public health priority tracking and supervision system should be established and the key task set annual quantitative indicators, strengthen policy guidance and supervision, inspection and timely sum up experience and regularly report work progress, to obtain actual effect. By commission will timely organization work to improve the medical service supervision inspection developing circumstance. Provincial family planning administrative department of public health to timely summary of relevant work experience and achievements, promote the beneficial experience, strengthen the propaganda of typical cases and display of results, set up the image of the industry.

Provincial family planning administrative department of public health on June 30 and December 31, collection, summary to improve medical services related to the progress of the work, the formation of half a year and annual work summary (including overall work and priorities in 2016), unified fill the job information to improve the medical service action plan summary table (see attachment), on July 15, 2016 and before January 15, 2017, will be half a year, annual work summary and information summary submitted by medical hospital authority. Found the window and typical report in a timely manner by medical hospital authority. Medical institutions of traditional Chinese medicine work submitted to the state administration of traditional Chinese medicine in time.

Attachment: to improve the medical service information summary action plan work

To improve the medical service information summary action plan work

This time: -- -- -- -- -- -- -- -- -- -- provinces (autonomous regions and municipalities) health and family planning commission affix one's seal

Advance reservation medical services, effective bypass patients

To carry out the appointment diagnosis and treatment of medical institutions

The number of (a)

The number of the third class hospitals (a)

The secondary hospital number (a)

Other medical institutions number (a)

Average level 3 hospital appointment diagnosis rate (%)

Tertiary hospitals on average appointment booking rate (%)

Realize time-sharing appointment of medical institutions

The number of (a)

Tertiary hospitals average JiuZhenLv time-sharing reservation (%)

Reasonable allocate medical resources, open emergency green channel

The average time of medical institutions to issue report

(minutes)

Emergency department visit project

Emergency biochemical, immunization programs

The operation of medical institutions in the daytime

The number of (a)

Independent setting of ambulatory surgery center of medical institutions

The number of (a)

The operation in the daytime (total)

Ambulatory surgery for the average proportion of elective surgical procedures (%)

Is coordinating health care departments will be lobbying preoperative examination, postoperative rehabilitation expenses included in the reimbursement

Giving full play to the advantages of information technology, improve the patients medical treatment experience

In clinic and settlement services such as medical institutions

The number of (a)

The nurse station, next to the bed settlement services of medical institutions

The number of (a)

Mobile payment of medical institutions

The number of (a)

Provide a variety of forms inspection result query service of medical institutions

The number of (a)

To carry out the remote medical treatment of medical institutions

The number of (a)

For patients to provide self-service query, WeChat platform and other drug use information query of medical institutions

The number of (a)

To carry out the high quality nursing care services of continuous improvement

The implementation of high quality nursing service of medical institutions

The number of (a)

The number of the third class hospitals (a)

Tertiary hospitals percentage (%)

The secondary hospital number (a)

Secondary hospital percentage (%)

Realizing a complete coverage of the ward (a) the number of tertiary hospital

Tertiary hospital total percentage (%)

Standard medical behavior, and ensure medical safety

Implementation of clinical pathway of medical institutions

The number of (a)

The number of tertiary hospitals

Accounts for the proportion of the third class hospitals

Number of secondary hospital

Proportion of secondary hospital

A clinical pathway management cases (cases)

Clinical pathway on average completion rate (%)

Tertiary hospitals

The secondary hospital

Implement the inspection results mutual recognition of medical institutions

The number of (a)

Pay attention to medical humanities concern, promote social workers volunteer service

To carry out social work services in medical institutions

The number of (a)

Volunteer service of medical institutions

The number of (a)

The total number of volunteers (people)

Properly resolving medical disputes, to build a harmonious doctor-patient relationship

Medical disputes covered county people's mediation work

The number of (a)

Proportion (%)

Medical liability insurance and mutual medical risk gold ginseng protect medical institutions

The number of (a)

The tertiary hospital number (a)

The secondary hospital number (a)

Accounted for more than a secondary hospital ratio (%)