Separate management office sole dialogue, both the Beijing health bureau to the hospital authority chief party--

The new hospital authority how to "opening"

Healthday reporters 龑 ZhangJianShu leap

Its new Beijing hospital authority, how will the public hospital to fine management? And how to deal with the relationship between with health bureau? A few days ago, the society is the hot issues in the exclusive interview with the Beijing health bureau chief and hospital authority chief party to the English.

According to actual condition set mode

Healthday: some people think that the hospital authority on health bureau, under the department management, and not realize the true sense of the separate management office. According to this model, how do you know?

Party to the English: Beijing will ever on health bureau, is under consideration for the Beijing area, it is to implement the actual situation of the management office under the super-ministries of separate, are also a big health view concrete manifestation. Must be clear, is the key to separate management office is to let the party tube is more energy tube, do have more energy to a party.

First, health is the security of the state power, strategic, different from the general social service or the people's livelihood service. Therefore, the government must have a strong medical health team, in the social public events, it appears to team maintaining the social stability and development work.

Second, the medical and public health may not quite separate. Any one individual medical problems, actually all in the direction of the development of the group. The society has a saying that health should be public health, formed to real tube tube, and in fact there is no medical health support, much of the work of public health is not found the strong point. For example, high blood pressure, on its own terms is absolutely individual treatment problem, but when 20% ~ 30% of residents had high blood pressure, it will rise to public health problem. Also, when there is major public events or accident, must whole coordination, the integration of medical treatment, public health and other collaborative combat power.

Therefore, the functions of the hospital authority is mainly represent government efforts to achieve hospital--to the Beijing municipal government capital contribution of public hospital for fine management; The bureau is more in "tube to" fluctuation kongfu, to make health planning, the macro health strategic decision and policy, scientific and reasonable distribution and medical health resources integration, strengthen the public health work, perfect the major public health event and of public emergencies of the emergency mechanism.

Healthday: someone on your ho ital authority chief have questioned, part-time what do you see?

Party to the English: concurrently director, this is both personnel arrangement, also is the system arrangement. The personnel arrangement, because hospital authority form, have a lot of work to coordinate with health bureau. From the system arrangement on look, a reference to medical management, health service development positioning of the consideration. In the current situation, the need of the public health system relatively strong or nonprofit health care system support social health security, this also is the obligation of government.

Function division is not everything two and a half

Healthday: based on this kind of big health management office under the framework of separate, you think should be how to perform the functions of the hospital authority and their health? Or how to avoid the conflict between them?

Party to the English: I've been to the function of health and the department of hospital authority figure compared to "health bureau to enough day, formed to into the ground." the Say a bit, for hospital popular management, hospital authority and the function of the health bureau, is divided the cross-section, not all the two and a half who points away. Cut across, health bureau, formed to go up light solid go down. Specifically, with 100 points to measure the medical work of words, municipal bureau of work function is formulated the unity of the Beijing health policy, mainly be responsible for the realization of the target of the cure of 60 points stage; The hospital authority work function is to explore and to implement the work order and the realization of the approaches and methods, make public hospital implementation of health policy, in the unity of medical work up leading, the leading role, meet the need to complete the medical treatment, medical target 60 points to 100 points of the stage.

In addition, I am often asked, both conflicts? I want to say is, why must have a conflict? For example, suppose the bureau to open government will, the research of medical issues is the level of hospital evaluation, such as hospital should be named level 1, level 2 or 3, and the hospital authority to study is a big hospital after 22 home were the top three or go into three b?

Can see from this, decision-making and directors' concerns are different. If the two jointly attention to one point, then surely will be a conflict.

The root causes of conflict is not thinking clearly two problems: one is the health bureau and the hospital authority what on; 2 it is we must study the super-ministries framework tube do separate. Tube to separate is the government's public management functions (tube) and contributor (offices) of the separate function, its form is DuoZhong diverse, can take institutions of separation, also can be in institutions way not separate completely separate or not realize the goal.

The establishment of the hospital authority, is fully research in the capital area health development situation, structure decision after. Reform after all is one attempt, which is a good way to practical effect, should be to measure.

Don't give the hospital increment burden

Healthday: hospital authority, after the establishment of the hospital evaluation index how to design? For hospital dean speaking, be able because of new set up a department and increase the management burden? For the other hospital, what can be affected?

Party to the English: hospital authority after the founding of three task: first to study and establish the evaluation system to evaluate what medical level and efficiency, commonly known as the performance evaluation. Secondly, to study medical organization system, such as rehabilitation, nursing do? Hospice care how do? What kind of organization structure to improve home city to level 3 hospital 22 operation efficiency? Third, we need to research the internal organization structure and operation structure, namely to what the tube.

Evaluation of hospital performance appraisal concrete including, level 1 assessment of the four dimensions including assessment social repercussions; Capital operation situation (investment, benefit); Personnel training, scientific research level; Service ability and efficiency. Level 2 appraisal is divided into 10 to 12 a detailed examination of the index. Such as make an appointment on the rate, be in hospital, the day in hospital, days utilization of beds, cash flow rate, such as antibiotic use specific indicators. At the same time these indicators from the existing operational hospital will automatically generated in the management system, can't just make up, I don't want to let the hospital after the establishment of the hospital authority fill a lot of statements, more do not wish to give the hospital a new management burden.

The next move, besides setting the performance appraisal appraisal system outside, still will launch make an appointment-a doctor, a different period of medical apart and total, DRG evaluation system in advance, changing the service mode.

At present, the hospital authority is composed of contact framework for assets department. On the assets management division, only 22 home city hospital, accounted for a third of the hospitals. In fact, the past the Beijing health bureau also have no tube all of the hospital to the municipal government, funded by the other the administration of medical institutions, to perform industry management and ShuDeHua management functions. The Hong Kong hospital authority for reference of the hospital authority mode, but also different in the Hong Kong hospital authority. Hong Kong all public hospital ties in the Hong Kong government assets, and the Beijing area has the central, army, universities, such as enterprise subordinate to the level 3 hospital home more than 60, known as the "great" 8. We hope that through fine management, make a batch of modern management level and the service ability of hospital in Beijing, leading the development of other medical establishment.

Healthday: hospital authority personnel when in place? Whether there is the difficulty of recruiting staff? Beijing hospital authority 60 preparation is how to set? Can meet the actual need of work?

Party to the English: two to three months to complete all staff recruitment is expected to be formed to configuration. The hospital authority other staff, several aspects: with source adjustment, health authorities will have to work part of our cadres sent to the hospital authority, for example, financial YuSuanChu, affirmation want from health bureau down to hospital authority, including to the hospital logistics management before parts, and will be on hospital authority. In addition, through the open recruitment methods, attract the excellent talents, and establish all vigorous leadership and team work.

The restructuring of personnel or personnel recruitment is not difficult. Sometimes I joked about, municipal bureau stay here and be formed to many people.

60 staffing is the source of, first according to function orientation Settings, and then measure how many departments to maintain the basic operation need to many people. At present the Beijing municipal hospital authority responsible for 22 home level 3 hospital has 37000 DuoRen, fixed assets many yuan 200. Through the fine management, no matter from ease difficulty and high cost to realize the responsibility of public hospital or in terms of operation efficiency, is of great significance.

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The management office around trying to separate

Established Shanghai shen-kang hospital development center

In 2005, the Shanghai government in separate management office pilot work. But health policy, planning, access, including personnel, technology, equipment, the examination and approval organization establishment access and the industry's quality supervision, and at the same time, established the Shanghai shen-kang hospital development center, center responsibility is to do work content including medical, planning, management, assets supervision, performance evaluation.

Shen-kang hospital development center and belong to Shanghai municipal bureau level budget goes to the hospital, original unit of financial aid, but no longer through the city health bureau by shen-kang hospital development center transfer to the hospital.

Wuxi hospital management center was established

In 2005, the health bureau in wuxi city, jiangsu province in two, and established a new management agencies-the wuxi city hospital management center. From the administrative organizational system, the hospital management center and the health bureau, the bureau is a government departments at the same level, is the administrative organs; The hospital management center is the government agency, perform the administrative management is the institution. The health authority a third of the personnel system is to transfer the medical center tube. Center within the public affairs department, such as medical development of one room, presides over 6 9 home city to hospitals, home l health school, 1 companies. Government to health and the management of the state-owned assets in responsibility.

Health is the implementation of the whole society and industry management industry guidance, mainly responsible for industry planning, industry the implementation of laws and regulations and industry access.

Weifang internal institutions in health bureau

In December 2005, weifang exploration management office of management mode not separate partition. Main features are in the public health administrative department set up institutions to undertake in separate tube, do functions. Established in the municipal bureau of health supervision and place, as a public hospital regulators, and at the same time set up the chief accountant management office, designated public hospital "do" duty.

After the reform of public hospital cancelled administrative level, instead of health bureau, the term of office of the four years.

Chengdu hospital administration was established

In January 2010, chengdu city founded the deputy provincial hospital authority, will be about health bureau public hospital management function, and separated the corresponding to the office to the hospital authority. Area (county) level 1 also set up medical tube into the corresponding branch and a medical institution. The hospital authority and the reconsideration office of the state-owned assets supervision, implement a group two signs. On behalf of the state of the hospital authority performing the contributor's duties and is responsible for the management and reform, mainly be responsible for the subordinate organizations implement medical development planning, hospital management of public hospital human, financial, material, and promote belongs to explore the hospital management system and operation mechanism reform.

Zhenjiang health bureau respectively different office second five-year terms

Zhenjiang at the end of 2009, the municipal health reform started with the different place room to perform all the industry regulator and respectively for the responsibility of the medical contributor. On behalf of investors in hospital (group) the council, the exercise of the major issues of the hospital decision-making authority. Contents include: to establish a system for investors in a public hospital; Public hospital council was established, the board members by health, hair change, medical care, and other components of the hospital staff; The council decided and appointed dean of the hospital, director of finance director, sure, drug hospital performance management objectives and worker total wages, etc. The health ministry website come from"