An interpretation of the interim measures for the administration of medical records of traditional Chinese medicine clinics

We will strengthen supervision and promote the practice of traditional Chinese medicine clinics

Time: 2017-11-17

Source: Chinese medical journal

Recently, the national health and family planning commission issued the interim measures on the administration of the registration of traditional Chinese medicine clinics (the national health and family planning commission, no. 14, hereinafter referred to as the "interim measures"), which reads as follows:

1. Why do you have to make "interim measures"?

TCM method specified in article 14: "for clinic of traditional Chinese medicine, the clinic's name, address, diagnosis and treatment scope, staffing, etc to local people's government at the county level departments for the record of Chinese medicine after practice activities. The TCM clinic should publicize the scope of diagnosis and treatment of the clinic, the name of the TCM doctor and the scope of its practice in the clinic, and the medical activities should not be carried out beyond the record. Specific measures shall be formulated by the competent department of traditional Chinese medicine under the state council and reported to the administrative department of health under the state council for examination and release. Reform and innovation have been made in the establishment of TCM clinics. In order to make the record for clinic of traditional Chinese medicine and strengthen Chinese medicine clinics for record after regulation, the state administration of traditional Chinese medicine according to the law and regulations of medical institutions of traditional Chinese medicine and other relevant provisions of the drafting of the "interim measures" and submitted to the national health officially released after the examination and approval of the commission.

What is the scope of diagnosis and treatment of TCM clinics?

"Interim measures" referred to in the traditional Chinese medicine clinic, is under the guidance of TCM theory, using the traditional Chinese medicine and acupuncture, cupping, massage and other non-drug therapy in medical services, as well as the traditional Chinese medicine dispensing and one decoction, etc. The clinic of traditional Chinese medicine pharmacy practice. These measures are not applicable to the scope of service or the existence of uncontrollable medical safety risks and risks. One is to stipulate that TCM clinics should not provide western medicine services; 2 it is not all of the services of traditional Chinese medicine can be developed, and the technology of the uncontrolled medical safety hidden danger and risk shall not be carried out in clinic of traditional Chinese medicine, such as minimally invasive technology of traditional Chinese medicine, Chinese medicine injection, acupuncture point injection, etc.

Iii. What should be the conditions for organizing a TCM clinic?

Held the measures from the standard of TCM clinic personnel qualifications, clinic, name, environmental protection, fire control requirements and shall not be held a clinic situation stipulated held the record of TCM clinic shall meet the conditions.

One is to stipulate the basic requirements of the main head of the clinic. For the obtained examination of practicing doctors' qualifications, considering the national health and family planning commission and the state administration of traditional Chinese medicine in 40 cities across the country and gansu province to encourage social do the pilot work of traditional Chinese medicine, has allowed the practice of changed from 5 years to 3 years, combining with the reform of the national "pipes" spirit, therefore in the provisions of the measures "has the category of traditional Chinese medicine the doctor qualification certificate and after registration in medical treatment, prevention or health care professional full 3 years". The way to learn is to learn or practice after many years of traditional Chinese medicine or medical expertise personnel, according to the provisions of the law of traditional Chinese medicine, clarify the conditions for such personnel according to the doctor of medicine of traditional Chinese medicine does expertise personnel for the qualification registration management interim measures "(specialty) of traditional Chinese medicine doctor qualification certificate.

The second is that the setting of the registration of TCM clinics should comply with the basic standards of TCM clinics issued by the national health and family planning commission and the state administration of traditional Chinese medicine in 2017.

Third, the name of the TCM clinic should comply with the requirements of the medical institution management ordinance and the implementation rules.

Fourth, the holding of traditional Chinese medicine clinics should ensure fire safety and comply with the regulations and requirements of relevant laws and regulations.

Fifth, the head of the TCM clinic should be able to bear civil liability independently.

At the same time, it is clear that the Chinese medicine clinics should not be held, namely the contents stipulated in article 12 of the implementation rules of the management regulations of medical institutions.

What is the procedure for filing a TCM clinic?

According to this method, if it meets the requirements of host clinic of traditional Chinese medicine, reported for the record materials required for proposed clinic is located at the county level department in charge of traditional Chinese medicine, Chinese medicine at the county level departments after receiving the material, the material is complete and conform to the requirements of the archival filing shall be put on record, and distribution of Chinese medicine clinics for the record card on the spot; If the material is not complete or does not meet the requirements of the record, it shall be told on the spot or within five days that the record person needs to make up all the materials. The record person can carry out the practice activity after receiving the certificate of TCM clinic.

How to strengthen the post-mortem regulation of TCM clinics?

This method clarifies the supervision and management responsibilities of the county-level Chinese medicine department in performing the supervision and management of the traditional Chinese medicine clinic, which embodies the requirements of post-mortem supervision after the registration of TCM clinics.

The first is to stipulate that the competent Chinese medicine department of the county level shall conduct on-site verification of the registered Chinese medicine clinic within 30 days from the date of the filing of the TCM clinic. This requires the competent department of Chinese medicine at the county level to follow up the work and offer services on the doorstep. The main purpose of the verification is to verify the authenticity of the clinic's address, layout, scope of diagnosis and treatment, practitioners and equipment, and whether it is consistent with the filing.

Second, the competent departments of Chinese medicine at the county level shall carry out on-site supervision and inspection on a regular basis to perform supervision and administration functions of the TCM clinics. Supervision and inspection mainly carry out comprehensive supervision and inspection on the practice of the clinic, medical quality, medical safety and clinic management, etc. It is necessary to organize special supervision and inspection when necessary.

Third, it stipulates that the competent department of Chinese medicine at the county level shall carry out a record system for the practice of poor practice in traditional Chinese medicine clinics, so as to promote the practice of practicing medicine in traditional Chinese medicine clinics, guaranteeing medical quality and medical safety.

Four is clear at the county level, head of the department in charge of traditional Chinese medicine for the clinic to provide a unified way to learn and exchange platform, promote the clinic director in accordance with the practice, the infection prevention and control, and the ability of the prevention and treatment of infectious diseases.

6. How to connect with the management of traditional Chinese medicine clinics?

Due to the basic standard of TCM clinics, the TCM treatment rate is not less than 85%, and a significant number of TCM clinics provide Chinese and western medicine services for the needs of the masses. This method stipulates that TCM clinics can only provide traditional Chinese medicine services. In order to link up, this method puts forward a method to classify and manage autonomous choice. One is already set before the implementation of the measures provide both Chinese and western medicine of traditional Chinese medicine clinics, after the promulgation and the implementation in this way, can according to their own actual situation, choose for clinic management way: only provides the measures of traditional Chinese medicine services, before the expiry of the validity of the practice license of medical institution, can according to the requirements of the "regulations on the administration of medical institutions" management, also can be in accordance with the requirements for the record management (after the cancellation of the original practice license of medical institution according to the measures for the record); 2 it is to provide the service scope of service does not conform to the provisions of the present procedures or uncontrolled medical safety hidden danger and risk of Chinese medicine clinics, according to the requirements of the "regulations on the administration of medical institutions" still implements the examination and approval administration, changed its name to practice the examination and approval administration of traditional Chinese medicine clinic of traditional Chinese medicine (integrated) clinic, setting should conform to the state of health issued by the commission and the state administration of traditional Chinese medicine (integrated) of traditional Chinese medicine clinic basic standards.