Health and Family Planning Commission of all provinces, autonomous regions and municipalities directly under the Central Government, Xinjiang Production and Construction Corps Health Bureau:
In order to further improve the quality of medical care , ensure medical safety, and safeguard the health rights and interests of the people, in accordance with the 2016 Health and Family Planning Work Plan and the Notice on Printing and Distributing the Action Plan for Further Improving Medical Services (Guo Wei Yi Fa [2015] No. 2), The 2016-2017 annual medical quality related work requirements will be notified as follows:
First, the work content
(1) Further improve the medical quality management and control organization system, and strengthen the management and control of key professional medical quality. It is necessary to further strengthen the construction of quality control organization systems for various professions, focusing on disciplines, inspections, imaging, hospital infections, medical records, etc., and strengthen quality management and control. First, expand the number and coverage of inter-room quality assessment projects, improve the degree of homogenization of inspections and inspections, and promote mutual recognition of inspections and inspection results. The second is to strengthen the construction of remote consultation systems, promote remote pathology and imaging diagnosis, improve the utilization of quality medical resources, and promote the sinking of resources. The third is to strengthen the construction and training of relevant professional talents, and attach importance to the ability training and quality control of inspection and inspection technicians in primary medical institutions. The fourth is to strengthen the quality management and control of inpatient medical records and medical records, and lay the foundation for promoting information quality control.
(2) Strengthening the continuous management of medical quality in the process of grading diagnosis and treatment of diseases. The provincial health and family planning administrative departments shall guide medical institutions to strengthen the requirements of the primary non-communicable diseases such as hypertension and diabetes, in accordance with the requirements of the primary medical consultation, the two-way referral, the rapid division of treatment, and the hierarchical diagnosis and treatment system. Medical quality management with patient-centered, disease-based chain. First, the standard is unified, and the treatment is standardized. Formulate and strictly implement the relevant disease diagnosis and treatment specifications, guidelines and clinical pathways, standardize the diagnosis and treatment behavior of related diseases in different levels and different types of medical institutions, and improve the level of homogenization. The second is the smooth mechanism and seamless integration. Relying on the medical cooperation, counterpart support and other division of labor cooperation mode, the implementation of relevant disease entry, discharge and two-way referral standards, innovative patient management division of labor coordination mechanism, breaking the institutional barriers to disease management. The third is to improve the continuity of diagnosis and treatment of medical institutions and internal emergency patients. Innovate the work mechanism of the emergency department service for patients with chronic diseases and returning patients, try to prioritize the services provided by physicians who are familiar with the patient's condition, improve the continuous level of long-term diagnosis and treatment of patients' diseases, and improve the patient's medical experience.
(3) Strengthening the quality management and cost-effectiveness control of key diseases and medical technology. In order to combine the actual situation in the region, select some diseases and medical technologies with high morbidity and mortality, and the cost burden as the entry point, such as: stroke, coronary heart disease (interventional technique, coronary artery bypass grafting technique), common tumor Sexual diseases (lung cancer, esophageal cancer, stomach cancer, colorectal cancer), childhood leukemia (acute lymphocytic leukemia, acute promyelocytic leukemia), congenital heart disease in children (atrial septal defect, ventricular septal defect), hip and knee joint replacement Technology, four-level digestive endoscopic diagnosis and treatment technology, further standardize clinical diagnosis and treatment behavior, improve the quality of diagnosis and treatment, strengthen cost accounting, process control, detail management and quantitative analysis, and continuously optimize cost-effectiveness. First, improve and implement the diagnosis and treatment specifications, clinical pathways, quality control indicators and standards of related diseases and medical technologies, highlight the quality management of the whole process, and guide medical institutions to continuously improve the quality and safety of diagnosis and treatment and improve the treatment effect. The second is to guide medical institutions to study and establish input-output analysis models for related diseases and medical technologies, strengthen cost-accurate management of the entire process, optimize input-output ratio, and alleviate the burden of unreasonable medical treatment for the people. The third is to strengthen the collection, analysis and feedback of quality control and cost-effective information through information technology.
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