Regarding general office of the national health and family planning commission, 2016-2017 annual improve medical quality related work

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

The 2016-07-22

Countries who do medical letter [2016] no. 765

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

In order to further improve the medical quality and ensure medical safety, protecting the health of the people's rights and interests, family planning work arrangement according to the 2016 health and on the printed and distributed to further improve the medical service action plan notice (countries who medical hair [2015] no. 2) the relevant requirements, will now be 2016-2017 annual work requirements related to improve medical quality notification is as follows:

A, work content

(a) to further improve the medical quality management and control system, strengthen key professional medical quality management and control work. To further strengthen the construction of the professional quality control system, with pathology, inspection, image, hospital infection, medical record, such as professional as the key point, strengthen quality management and control. One is expanding chamber interstitial review project number and coverage, improve the degree of homogeneity examination, test, promote mutual confirmation of inspection, the inspection results. The second is to strengthen the construction of remote diagnosis system, and promote the remote pathological and imaging diagnosis, improve the utilization rate of high quality medical resources to promote resource sink. Three is to strengthen the construction of relevant professional personnel and training, attention for grassroots medical institutions inspection, the inspection technology ability training and quality control. Fourth, strengthen quality management of hospital medical record and medical record home page and control, in order to promote the informationization work lay the foundation for quality control.

(2) to strengthen disease classification diagnosis and medical treatment quality in the process of continuous management. Family planning administrative department of public health at the provincial level shall guide the medical institutions in accordance with the first option at the grass-roots level, two-way referral, acute slow partition, the upper and lower linkage system construction requirements, classification of diagnosis and treatment for chronic noncommunicable diseases such as hypertension, diabetes, strengthening "taking patients as the center, to disease as chain" of medical quality management. It is unified standard, diagnosis and treatment norms. To formulate and strictly implement the relevant norms, guidelines, and disease diagnosis and treatment of clinical path, norms related diseases at different levels, different types of diagnosis and treatment of medical institutions, improve the level of homogeneity. Second, open mechanism, seamless. Relying on the medical association, counterpart support collaboration model, such as the implementation of the related disease in hospital, and two-way referral standards, innovative integrated management of patients with collaboration mechanism, break the barrier of the disease management institutions. Three is to improve medical institution who, degree of continuous emergency patients diagnosis and treatment. Innovation in patients with long-term chronic disease, visit this service mechanism, try to prioritize familiar with patients physician services, improve the level of disease in patients with long-term treatment process of continuous, improve patients go to a doctor.

(3) strengthen the focus on diseases and medical quality management and control cost effectiveness. Want to combine the actual situation in our region, select the incidence, mortality is higher, cost burden heavier parts of the diseases and medical technology as a breakthrough point, such as stroke, coronary heart disease (intervention, coronary artery bypass grafting), common tumor diseases (lung cancer, esophageal cancer, gastric cancer, colorectal cancer) and childhood leukemia (acute lymphoblastic leukemia and acute early young granulocyte leukemia), children's congenital heart disease (pathogenesy, ventricular septal defect), hip, knee joint replacement technology, level 4 digestive endoscopic diagnosis and treatment technology, etc., to further standardize the clinical diagnosis and treatment, improving the quality of diagnosis and treatment, strengthening cost accounting and process control, detail management and quantitative analysis, constantly optimize the cost effectiveness. One is to improve and implement related diseases and medical technology to control the quality specification of diagnosis and treatment, clinical pathway, indicators and standards, highlight the whole process of quality management and guide constantly enhance the level of diagnosis and treatment quality and safety of medical institutions, improve the effect of treatment. 2 it is to guide the research of medical institutions to establish related diseases and input-output analysis model of medical technology, strengthen the whole process cost management precision, optimization of input-output ratio, reduce the financial burden on the masses of the people is not reasonable to see. 3 it is through the information means to strengthen the quality control and cost related information collection, analysis and feedback.

(4) the elaborating management to improve the quality of ambulatory surgery. Family planning administrative department of public health at the provincial level shall guide the medical institutions to improve the quality of ambulatory surgery fine management, safeguard the rights and interests of patients' health. One is to establish a perfect medical institutions ambulatory surgery quality safety management system, perfect the work mechanism of ambulatory surgery quality safety management and assessment. The second is to guide the operation of medical institutions in the daytime to formulate and ambulatory surgery diseases to social public institutions and technology directory, clear related diseases of ambulatory surgery indication range, anesthesia, main scope of the risks and likely costs, take the initiative to accept social supervision. Three is to guide the operation of medical institutions in the daytime for ambulatory surgery clinical pathway, strengthen ambulatory surgery medical records management. Four is to strengthen the propaganda and education in patients undergoing ambulatory surgery and follow-up, to ensure continuity of medical service.

(5) enhance the level of county hospital and private hospital medical quality and safety. To focusing on the county level public hospital and private hospital, strengthen medical quality and safety supervision and management. One is to strengthen public hospitals and private hospitals at the county level in accordance with the law, practice consciousness, improve medical quality and safety management system, making work mechanism, enhance the level of medical quality and medical safety. 2 in anesthesia, intensive medical, imaging, inspection, pathology, obstetrics, pediatrics and other professional focus, to guide public hospitals and private hospitals at the county level to strengthen the construction of specialized subject ability. Three is the interventional techniques, endoscopic technology and blood purification treatment technology as the key point, strengthen the training of related staff, improve the ability of clinical application of appropriate technology, guarantee medical quality and medical safety.

Second, the work requirements

(a) to strengthen organization and leadership. Want to in this notice, on the basis of relevant requirements, formulate concrete work plan the areas under their respective jurisdiction, further refining the clear mission objectives. Contact to establish the regional hospital system, and to urge medical institutions to carry out the tasks within their respective jurisdictions. Institutions are formulated various medical institutions at all levels should be detailed work plan, perfect the relevant system construction, smooth working mechanism, decompose the task, a clear division of responsibility, earnestly implement the work requirements. All levels of the professional medical quality management and control center to responsible for the medical institutions in the region each related professional medical quality, safety management guidance, training and assessment. Encourage learning association, social organizations and the news media to actively participate in related work.

(2) pay attention to work method. To grass-roots level to carry out the investigation and research, understand and solve the problems existing in the work in time, summarizes the work experience. Should pay attention to play to the role of the quality control center and other professional organizations at all levels, strengthen the quality inspection of specific medical business and promote, help improve the medical quality of medical institutions. Pay attention to the medical quality management and clinical staff training and education on the layer classification, inspire staff subjective initiative, enhance the consciousness of the quality and safety management, familiar with the quality and safety management policy, guidance quality and safety management methods, strengthen the exchange of experience and sharing.

(3) pay attention to public opinion propaganda. The family planning administrative department of public health and medical institutions at various levels shall strengthen the excavations of the advanced experience of medical quality improvement for good case for publication industry or the public. Use a variety of media forms, open up a column, special, special programs, Yang vital qi, tree, benchmarking propaganda, the promotion of good practice and advanced experience of the popularity, improve the masses create a good atmosphere.

Provincial family planning administrative department of public health to collect and summary jurisdiction work situation, the formation of annual work summary, every six months and unified "improve medical quality of special information summary table" (see annex), respectively, on December 31, 2016, 30 June 2017 and November 30, the semiannual work summary and work summary information submitted by commission. Found in the work window and typical report in a timely manner by commission, by organizations around the country to promote the circumstances.

Contact: medical hospital authority Cui Yongliang, xu-dong ma

Contact phone: 010-68792769, 68791876

Fax: 010-68792067

E-mail: medicalquality@163.com

Attachment: to improve medical quality of special information summary table. Docx

General office of national health and family planning commission

On July 6, 2016