About print and distribute the new type of rural cooperative medical care across the province medical networking and submitted to the referral process and information exchange standard (trial)

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

The 2016-09-07

Countries who do grass-root letter (2016) 900

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, cities under separate state planning health and family planning commission, the national health budget management of family planning hospital:

According to the new rural cooperative medical long-distance medical networking scheme knot \"(the guard hair [2016] no. 23) at the grass-roots level, farmers in advancing the new long-distance medical knot at work, the provinces (autonomous regions and municipalities) to build system of long distance medical referral, build good medical order. To standardize management of the long-distance medical referral, we developed the new type of rural cooperative medical care across the province medical networking and submitted to the referral process and information exchange operation specification (try out) \"(which can be downloaded from the national health and family planning commission web site). Hereby printed and distributed to you, please earnestly implement.

General office of national health and family planning commission

On August 17, 2016

The new type of rural cooperative medical care across the province medical networking and submitted to the referral

Process and the information exchange operation specification

(trial)

One, the general

Article 1 for the purpose of regulating the cross-regional medical order, and to carry out the hierarchical referral system requirements, to achieve inter-provincial long-distance medical knot target, according to the general office of the state council on promoting the construction of the grading system of guidance \"(countries do hair [2015] no. 70) and the national health and family planning commission, ministry of finance on the printing of the new rural cooperative medical long-distance medical networking and submitted to the implementation plan of notice (countries who is sent [2016] no. 23) at the grass-roots level, operating norms are formulated.

In article 2 of this specification is applicable to medical network across the province and the medical establishment that decide a dot and settlement centers across the province for medical treatment and submitted to the provincial population health information platform (or area), and as a whole the area with cross-province medical networks and offer the related business referral.

Article 3 new farming and cross-regional medical networking and submitted to the referral refers to satisfy the conditions for cross-regional referral service patients according to local regulations, fujian association of foreign languages and referral treatment process after referral to medical treatment outside the province. Orgnaization of agency of ginseng (or medical institutions, the same below) in a timely manner to the standardized referral information platform of information by the provincial new farming and population health information platform (or area) submitted to national new agricultural information platform. National platform and platform to push to the referral of medical institutions at the provincial level, realize the masses go to a doctor's identity and provide quote service.

Article 4 of this practice is to guide the specification of the cross-regional referral order, standardize the cross-regional referral management process, clarify the orgnaization of agency of new farming and management departments at all levels, as well as the responsibility of medical institutions.

Second, the scope of the medical establishment that decide a dot

Article 5 provinces and reported to the medical establishment that decide a dot medical networking refers to according to the national health and family planning commission on the selection and submit new farming and across the province for medical treatment and medical institutions and pilot to networking as a whole the area information notice \"(countries who do grass-root letter [2016] no. 846) of selected network conditions, and with the provincial family planning department of public health (or as a whole the area) fixed-point agreement, undertake new farming and provinces networking and submitted to the work of medical institutions, specific list of medical institutions can get through the national platform.

Article 6 the fixed-point medical institutions do not assume cross-regional referral referral agreement functions and connected to the Internet at work.

Article 7 for the convenience of patients in the hospital, a ginseng to orgnaization of agency of can be a doctor to choose a number of medical establishment that decide a dot, as to a hospital, by accounting for patients choose in it.

Three, cross-regional medical networking qualification confirmation and submitted to the referral patients

Article 8 accounting for patients in medical institutions in the province cannot be confirmed, or no treatment of difficult diseases after diagnosis the cross-regional referral formalities by the regulation.

Article 9 the working, visiting relatives, such as long-distance emergency patients, in principle, should also do first option at the grass-roots level, standardize the order of cross-regional medical referral.

(a) should be within 5 working days since the day after admission of orgnaization of ginseng to new farming and management department report, referral to put on record formalities.

(2) all in double cease day, legal holiday, etc to patients with normal referral to put on record formalities, prior to the settlement, can be discharged by telephone, network and so on the way to go as a whole the area agency orgnaization to apply for the referral.

Article 10 of the migrant workers and to establish a stable labor contract relationship over a long period of time, those who take refuge in children of the elderly and other different long-term living people, can according to the residence with the interim regulations on the residence permit and residence permit for workers' basic medical insurance or residence.

4, referral process management

Article 11 a ginseng patients should hold residents health card sickness certificate (or cooperation), id card (id card or residence booklet and guardians), through a variety of forms in the ginseng to go through the formalities for a referral.

Article 12 the referral information through the information system as a whole the area the person in charge.

(a) according to annex 1 \"new farming close cross-province medical networking and submitted to the referral form required to fill in the referral content;

(2) for a ginseng patients needs different reimbursement, should fill in the information such as bank account, details see the new farmers across the province medical networking and submitted to the data exchange technology plan;

(3) for infants and young children did not deal with id, name of the son of the XXX (female), XXX is a ginseng parents (or guardians), id card and cooperation sickness certificate for XXX certificate number, to ensure the consistency of status.

Article 13 the person in charge by the business information systems at the same level, provincial new farming information platform or national new farming and fill in the content of the referral information platform.

(a) at the same level or provincial new farming information system functional area, the person in charge shall be determined by information system provided referral information at the same level;

(2) the provincial new farming information system function is not perfect area, the person in charge can be directly through the national new farming and fill in the content of the referral information platform.

Article 14 new farming and related information systems at various levels shall, in accordance with the rules generated provinces networking and quote your referral id, as a referral list of identifiers. Referral sheet number, a total of 20, 1 to 6 of them as a whole the area code, and date of 7 to 14, 15 and 20 is sequence code. Sequence code generated rules are as follows:

(a) as a whole the area new farming and business information systems range from 000001 to 400000;

(2) the new agriculture and business information systems at the provincial level range from 400001 to 800000;

(3) the country's new agricultural information platform to generate range from 800001 to 800001.

Article 15 after the person in charge to fill in the content, through the provincial new farming and information platform in a timely manner to report to the national referral information new farming information platform.

Article 16 shall be in accordance with annex 1 \"new farming close medical network across the province and the referral form to generate print, printing, and passed on to patients across the province medical referral credentials as a patient. Encourage use of orgnaization of agency of information technology, the means of innovative services, provide electronic document of referral to patients.

Article 17 of the ginseng to patients in hospital registration should take the initiative to show the residents health card to the medical establishment that decide a dot sickness certificate (cooperation), id card (id card or residence booklet and guardians) (hospital), admission notice, referral list.

Article 18 the fixed-point medical institutions should strictly check the identity of the medical personnel information, check the ginseng to patients and their show me your identity card (id card or residence booklet and guardians), hospital registration formalities.

Article 19 not according to stipulations to orgnaization of ginseng to new farming and management authority for the record and execute the referral of patients with what is happening across the province for medical treatment health care costs will not be directly \".

The period of five, referral sheet

Article 20 provinces medical networking and submitted to the referral sheet is valid for 3 months. Apply for an extension beyond the period of validity is not timely, the overdue fee is not included in the new farmer knot to quote directly from a country.

Article 21 the referral of patients treated for many times for the same disease, can apply to the region as a whole, through the information system by the person in charge before activate again a referral, can complete the referral.

(a) by telephone, fax, Internet and other ways to plan as a whole region agency orgnaization to apply for activation;

(2) as a whole the area the person in charge through new farming in information systems or login at the corresponding level country new farming information platform for activation operation.

Six, strict management

Article 22 the medical establishment that decide a dot to grasp the referral conditions, procedures and requirements, standardize the referral management, focus on transfer rate, cross-regional referral functions of provinces and cities two levels of medical establishment that decide a dot to build system of referral links, keep clear of information.

Article 23 to meet the requirements for the referral of patients to referral formalities in time, does not meet the conditions should be explained to the accounting personnel do policy propaganda work. Cross-regional referral to the rules and procedures in orgnaization of agency of medical institutions as well as the pride of place and key window of the public and fulfill their obligation to inform and let people familiar with the understanding.

Article 24 the orgnaization of agency of ginseng to patient identification, promotion of new agricultural policies, introduce relevant matters needing attention, release has been carried out across the province for medical treatment and the medical establishment that decide a dot list.

Seven, attach the

Article 25 provincial new farming and settlement center formulate specific implementation rules according to the provisions of this specification, after the examination and approval of the provincial family planning administrative department of public health.

Article 26 of this specification shall be the responsibility of the national health JiCengSi state family planning commission.

Article 27 of this specification is suitable for the family planning department of public health management of urban and rural residents health care system.

Article 28 the rules come into force from the date of release.

The attachment

The new type of rural cooperative medical care across the province medical networking and quote your referral

Area:

Referral sheet no. :

The name

gender

Date of birth

Patients with contacts

Patients with contact phone number

Id number

Cooperative medical residents number or health card number

Bank card number

The name of the bank

Ginseng to district (county) region name

Referral for

To apply for time

Suggest to medical institutions

Transfer mechanism

Agency referral case transferred out

The name of the disease

To apply for time

Agency contact

Agency contact information

Agency contact email

Audit institutions is

Turn as a whole the area outside the hospital management department (unit) audit opinion:

signature

The reviewer's name

Audit time

Transferred to medical institutions for verification

Please serious sickness certificate verification id, cooperation of medical institutions and patients identity consistent sign after sign it

Medical institutions department seal

Date: (date) (month) (year)

Note 1: paper referral sheet number format: 1 to 6 is as a whole the area code, date of 7 to 14, 15 and 20 is sequence code.

Note 2: the electronic bank account information, referral sheet can collect blood from the patients to granting compensation related money by way of transfer.