The health ministry office about print and

distribute "in cardiovascular disease

Treatment technology, standard management

(2011 edition) "notice

Health ministry of China

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Who do the medical ZhengFa [2011] no. 107

The provinces, autonomous regions, municipalities directly under the central government health TingJu, xinjiang production and construction corps health bureau:

To strengthen the cardiovascular disease diagnosis and treatment technology in management, regulate cardiovascular disease diagnosis and treatment in behavior, ensuring the quality of medical treatment and medical safety, in July 2007, issued by the ministry of the cardiovascular disease intervention treatment technology, management rules "(health medical hair [2007] no. 222) in the nationwide in cardiovascular disease intervention treatment technology, access and standardized management. For carrying out deepen the reform of the medical care system requirements to meet the rural areas, and improve the diagnosis and treatment of cardiovascular disease demand in cardiovascular disease diagnosis and treatment can be and sex, the service organization concerned expert told the cardiovascular disease diagnosis and treatment technology in "standards were revised, formed" the cardiovascular disease intervention treatment technology, standard management (2011 edition) "(hereinafter referred to as the" standard "). Hereby printed and distributed to you, please comply with.

The health administrative departments at the provincial level in accordance with the "standard" requirement, within the jurisdiction of the organization for medical institutions and the doctors to perform in cardiovascular disease treatment technology capability to evaluate the clinical application, strictly mastering the standards, the qualification medical institutions and the doctors to publish a list, and submitted to the record. According to the clinical application of the medical technology management measures of the requirements and organize regular evaluation, for not comply with the requirements of the "standards, timely cancel qualification announce to the society.

The cardiovascular disease intervention treatment technology, management rules "(health medical hair [2007] no. 222) since the date of the notice issued shall be repealed at the same time.

Two ○ in one on August 12

Cardiovascular disease diagnosis and treatment technology in standard management

(2011)

To regulate cardiovascular disease intervention treatment technology, clinical application, ensure medical quality and the safety of medical treatment, medical technology according to the clinical application to manage the way "(health medical ZhengFa [2009] no. 18), this regulation is enacted. This code for medical institutions and their physicians in cardiovascular disease diagnosis and treatment technology in the minimum requirements.

This standard says cardiovascular diseases diagnosis and treatment is to point to the technology in vascular puncture route into the heart or blood essel lumen diagnosis or treatment for implementation within the technology, mainly including coronary heart disease diagnosis and treatment technology, congenital heart disease intervention in diagnosis and treatment technology and rhythm of the heart wrong intervention treatment technology, not including to save for the purpose of temporary QiBoShu hemodynamic monitoring, to the bed, intraaortic balloon counterpulsation art.

A medical institution, basic requirements

(a) medical institutions in cardiovascular disease treatment technology, its function, the task should be to adapt.

The public health administrative department of cardiovascular medicine, approved and registered heart big vascular surgery or medical subjects of thoracic surgery of, have angiography room and critical care.

1. Cardiovascular medicine.

Cardiovascular medicine clinical diagnosis and treatment work for five years or more, not less than 40 beds tickets.

2. The heart big vascular surgery or chest surgery.

Carry out the heart big vascular surgery or chest surgery clinical diagnosis and treatment work more than 5 years, bed not less than 30 copies.

3. Angiography room.

(1) comply with radiation protection and sterile operation conditions.

(2) with 800 mA, 120 KV more cardiovascular ZaoYingJi, have electric operation function, digital subtraction function and "journey" function, image quality and good protection against radiation conditions; Have medical imaging image management system.

(3) to be able to the heart, lungs and brain, have oxygen rescue recovery channel, anesthesia machine, defibrillator, attract implement, the blood oxygen apparatus etc necessary first aid equipment and medicines.

(4) have deposit catheter, guide wire, contrast agents, embolic agents and other items, the drugs stored ark, be responsible for the registration.

(5) in percutaneous coronary intervention also must be equipped with intraaortic balloon counterpulsation tester, and cardiovascular and monitor the pressure; Congenital heart disease in intervention also must be equipped with a blood oxygen saturation monitors; Carry out the heart electricity physical check and rhythm of the heart wrong intervention treatment still must be equipped with eight guide league above (contain eight guide couplet) more than the conductive physiological instrument.

4. Intensive care.

(1) set to conform to the standard level III, clean auxiliary with standard, not less than six pictures, bed every hospital bed net use area of not less than 15 square metre, can satisfy the cardiovascular disease diagnosis and treatment in professional need.

(2) comply with cardiovascular medicine, heart big vascular surgery or chest surgery professional critically ill patient treatment requirements.

(3) have multi-functional to monitor and breathing machine, multi-functional monitor can be electrocardiogram, blood pressure and blood oxygen project monitoring.

(4) be able to develop the monitoring project and the breathing machine treatment.

(5) have a professional training and have 5 years or above working experience in intensive care of full-time physicians and nurses.

5. Other paramedical units and equipment.

(1) the medical imaging division can use doppler echocardiography diagnosis equipment for regular and by the bed echocardiography.

(2) have a computer X-ray tomography (CT) and medical imaging image management system.

(3) has at least two have cardiovascular disease treatment technology of qualification in our hospital doctors, on-the-job after cardiovascular disease diagnosis and treatment of knowledge and skills in training, and implementation of cardiovascular disease diagnosis and treatment of intervention that adapt to the other professional technical personnel.

Second, the medical staff basic requirements

(a) cardiovascular disease diagnosis and treatment in physician.

1. Get the doctor qualification certificate, the practicing certificate of doctors, practice range of medicine professional or surgical professional.

2. At least 5 years working experience in clinical diagnosis and treatment of cardiovascular disease, of physician-in-charge or above professional technical position qualifications.

3. After the health ministry that cardiovascular disease diagnosis and treatment technology in training base system training and passed the examinations.

4. The two above have cardiovascular disease diagnosis and treatment technology in the medical director has the qualification and professional technical position qualified physicians recommend at least 1, called outer court physician.

(2) professional nurses and other technical workers after cardiovascular disease diagnosis and treatment technology in relevant professional training and passed the examinations system.

Three, technology management basic requirements

(a) in cardiovascular disease treatment technology, in principle can only in meet the conditions of the development of hospitals, below the county level 2 class hospital temporary not allowed in. To carry out treatment technology in cardiovascular disease at or above the county level of the second class hospitals in addition to meeting the requirements above, it shall meet the following conditions:

1. Divided into districts with above the level of the administrative departments for public health in cardiovascular disease diagnosis and treatment planning. Technology

2. Have cardiovascular disease diagnosis and treatment in demand. City area for the unit, regional don't get involved in cardiovascular disease treatment technology, the medical establishment of qualification; Rural areas in cardiovascular disease diagnosis and treatment in emergency time can not arrive have cardiovascular disease diagnosis and treatment of the medical institutions in qualification.

3. Through the provincial health administrative departments of the clinical application of evaluating the ability, by a cardiovascular disease treatment technology of qualification in three level of first-class hospital in qualification personnel to carry on the long-term technical supporting and guidance, time at least 1 year.

(2) strictly abide by the cardiovascular disease intervention treatment technology, standard operation and diagnosis and treatment guidelines, according to patients with an illness, and choice of treatment, patients economic bear ability factors such as the comprehensive judgment treatment, due to illness, treatment of making reasonable, strictly mastering the cardiovascular disease diagnosis and treatment technology in the indication.

(3) the diagnosis and treatment of cardiovascular disease intervention by the two above have cardiovascular disease diagnosis and treatment technology in the entry qualifications and have more than of doctor of vice director of professional technical position qualifications physician decided by a performer, cardiovascular disease intervention treatment technology, access as a qualified physician, establish the reasonable treatment and preoperative and postoperative management plan.

(4) the implementation in diagnosis and treatment of cardiovascular disease shall, prior to the patients and their family members told the operation purpose, surgical risk, the points for attention and the possible complications and preventive measures, and signed the agreement. Informed

(5) to establish and perfect the diagnosis and treatment of cardiovascular disease intervention followed after system, and the prescribed follow-up, record.

(6) in complete each example times cardiovascular disease intervention treatment diagnosis cases, within 10 working days after the health ministry, the software use regulations in accordance with the requirements relevant information submitted to the health ministry and the provincial public health administrative department.

(7) a year of complete medical institutions in diagnosis and treatment of cardiovascular disease cases are not less than 200 patients, of whom treatment cased not less than 100 cases). No and cardiovascular disease diagnosis and treatment of related to the operation in medical treatment, haing electie angiography complication rate of less than 0.5%, marked cardiovascular disease diagnosis and treatment technology in related mortality rate of less than 0.5%.

(8) have cardiovascular disease treatment technology, the physician in qualification as a performer complete cardiovascular disease diagnosis and treatment each year in case no less than 50 cases.

Among them, engaged in percutaneous coronary intervention as a performer of the physician each year to complete percutaneous coronary intervention not less than 50 cases). Engaged in the ablation for doctors to complete each year as a performer ablation for not less than 20 cases). Engaged in the pacemaker therapy for doctors to complete pacemaker therapy for a year as a performer; no less than 10 cases Engaged in the congenital heart disease intervention treatment as a performer to complete each year doctors congenital heart disease interventional treatment for not less than 20 cases.

(9) each provincial public health administrative department shall carry out would grant cardiovascular disease diagnosis and treatment in the relevant medical institutions and the doctors fair show list.

Each provincial public health administrative department shall regularly organization has won the qualification for medical institutions and the doctors cardiovascular disease diagnosis and treatment technology in clinical application of the assessment, including cases choice, the success rate, serious complications, deaths, medical accidents, the patient management, the day in hospital, patient survival quality, patient satisfaction, and medical records were quality, etc. Evaluation of the unqualified medical institutions or doctors, the suspension related technical qualifications and clinical application shall be ordered to correct rectification period of not less than three months. After rectification assessment qualified for related technology may continue to clinical application; Rectification is not qualified or continuous 2 times evaluation don't qualified medical institutions and physicians, cancel cardiovascular interventional treatment technology, clinical application, and social public to qualification.

(10) other management requirements

1. Using the pharmaceutical supervisory and administrative department for examination and approval of cardiovascular disease diagnosis and treatment in devices, and shall not through the equipment seek illegitimate interests.

2. Build cardiovascular disease diagnosis and treatment equipment in registration system and ensure that equipment source traceable. In cardiovascular disease diagnosis and treatment of the patients' medical records in operation records in part retained diagnosis and treatment equipment bar code or other qualified proof document.

3. Shall not violate compasses repeat the use of disposable cardiovascular disease diagnosis and treatment in the equipment.

4. Strictly implements national prices, financial policy, according to the regulation fee.

Four, training

Engaged in cardiovascular disease diagnosis and treatment to doctors should accept the intervention at least 1 year of system training.

(a) the training base that by the ministry of public health, and meet the following conditions:

1. The three level of first-class hospital, and the provincial public health administrative department concerned allow cardiovascular disease intervention treatment technology.

2. Finish all kinds of cardiovascular disease each year in cases of diagnosis and treatment of not less than 1000 patients, of whom treatment cased not less than 500 cases.

Coronary heart disease diagnosis and treatment technology training base in each year of all kinds of cardiovascular disease diagnosis and treatment to complete in cases are not less than 1000 patients, of whom percutaneous coronary intervention cases not less than 400 cases.

Rhythm of the heart wrong intervention treatment technology, complete the training base of all kinds of cardiovascular disease each year in cases of diagnosis and treatment of not less than 1000 patients, of whom ablation for not less than 150 cases example, permanent pacemaker implantation cases are not less than 100 cases treatment.

Congenital heart disease diagnosis and treatment technology training base in each year of all kinds of cardiovascular disease diagnosis and treatment to complete in case no less than 1000 cases of congenital heart disease, intervention cases not less than 100 cases.

3. Cardiovascular medicine and heart big vascular surgery total beds of not less than 100 copies.

4. At least four have cardiovascular disease diagnosis and treatment technology in the guidance of the qualification, at least 2 doctors called director doctor.

5. Have and cardiovascular disease diagnosis and treatment for intervention technical training work adapt to the staff, technology, equipment and facilities and other conditions.

6. Relevant professional academic level in China in the front row, and local strong influence.

(2) training work basic requirements.

1. The health ministry of unity use written training materials and training program.

2. Draw up training plan, ensure training doctors in time to complete the training provisions.

3. According to the request of the training period of doctors receive training theory knowledge mastery level, the practical ability operation level of the periodical test, evaluation; After the training, in training doctors to assess, and submit relevant information in time.

4. For each training doctors establish training and exam, examine files, and make record attendance.

5. According to the actual conditions and training ability training doctors decided to number.

(3) in cardiovascular disease diagnosis and treatment for training requirements.

1. Under the guidance of doctors at a higher level, independently completed fixed number of diagnostic cardiac catheterization examination, cardiovascular angiography cases and cardiovascular disease intervention case and qualified through examination.

Engaged in percutaneous coronary intervention to physicians at higher under the guidance of doctors, independently completed not less than 50 cases of coronary artery angiography cases and not less than 25 cases percutaneous coronary intervention cases, and qualified through examination.

In the catheter ablation therapy to doctors at a higher level, under the guidance of doctors, independently completed not less than 20 cases of ablation for cases, and qualified through examination.

In the pacemaker therapy for doctors to doctors at a higher level, under the guidance of not less than 10, independently completed pacemaker therapy for example cases, and qualified through examination.

Engaged in to congenital heart disease intervention treatment, doctors at a higher level under the guidance of doctors, independently completed not less than 25 cases diagnostic cardiac catheterization examination, cardiovascular angiography cases and 15 cases of congenital heart disease in interventional therapy case and qualified through examination.

2. Under the guidance of doctors at a higher level, in for cardiovascular disease diagnosis and treatment of patients in the whole process of management, including preoperative evaluation, diagnostic test results explain, and other disciplines consultation, cardiovascular disease common in diagnosis and treatment, diagnosis and treatment of operation process operation in records, perioperative period, critical care and treatment after surgery. Follow-up

3. In overseas accept cardiovascular disease diagnosis and treatment system in training above 1 years, the number of cases of doctors to perform a required, training organization's training proof, and through the examination, examine qualified, can maintain to meet the prescribed requirements of training.