The National Health and Family Planning Commission's Ten Key Tasks for "Regulating and Releasing Services" have been released!
1、 Cancel the approval for the establishment of clinics in elderly care institutions and implement a filing system. Health and family planning departments at all levels should supervise the implementation of relevant policies and strengthen supervision during and after the event to promote the development of the health and elderly care service industry.
2、 On the basis of the basic standards and management norms of five independent institutions, namely medical imaging diagnosis centers, pathological diagnosis centers, hemodialysis centers, medical laboratory laboratories, and hospice care centers, the National Health and Family Planning Commission has formulated the basic standards and management norms of independent rehabilitation medical centers, nursing centers, disinfection supply centers, health examination centers, small and medium-sized ophthalmic hospitals, etc, Expand the field of social investment and promote the development of new formats in the health service industry.
3、 Health and family planning departments at all levels should accelerate the reform process of electronic registration management for medical institutions, physicians, and nurses. On the basis of the launch of electronic online registration management in various provinces on July 1, 2017, all 3715 government service halls nationwide that have opened medical institutions, physicians, and nurses have registered online, providing fast and convenient services for the registration of medical institutions, physicians, and nurses.
4、 Further simplify the approval process for medical institutions. The establishment approval and practice registration of medical institutions at or below the second level will be "two certificates in one", further simplifying the approval of the establishment of tertiary hospitals. Health and family planning departments at all levels actively cooperate with relevant departments to establish a collaborative mechanism for medical institution approval work, and promote the sharing of approval information.
5、 Integrate the practicing certificate of obstetricians and gynecology with the qualified certificate of maternal and child health technology assessment. Qualified personnel shall annotate the relevant content of maternal and child health care technical services in their physician's practice certificate.
6、 Further enhance the level of opening up in the medical field to the outside world. For clinics established by foreign medical institutions, companies, enterprises, and other economic organizations in the form of joint ventures or collaborations, the restriction of foreign investment equity ratio not exceeding 70% shall be relaxed.
7、 Exploring the implementation of a notification and commitment system for the allocation of Class B large medical equipment by social medical institutions within the free trade pilot zone approved by the State Council, and the provincial health and family planning departments should formulate corresponding measures for supervision during and after the event and strengthen supervision.
8、 Health and family planning departments at all levels should comprehensively clean up various unnecessary certificates in relevant documents or standards. Cancel the photocopy of the "Medical Institution Practice License" submitted by medical institutions when applying for medical advertisements and stamp it with the official seal of the health and family planning administrative department, and replace it with the applicant's official seal. Carry out the cleaning and cancellation of materials related to the issuance of capital verification certificates by social medical institutions, and strengthen subsequent supervision.
9、 Promote information sharing and service commitment system to facilitate people's daily life. Cancel the family planning related certification materials submitted by some rural family planning subsidy applicants, and cancel the life and childbirth history and implementation of long-term contraception and birth control measures for the "Less Birth and Faster Prosperity" project application in the western region. Relevant information will be verified by the health and family planning administrative department through the health and family planning information system. Do a good job in querying marriage and childbirth information for migrant populations in different places, promote information sharing, and cancel paper marriage and childbirth certificates.
10、 Health and family planning departments at all levels should strengthen supervision during and after the event, and comprehensively promote the "double random and one open" work of the national health and family planning system. In the national supervision and sampling work, the "double random and one open" method is fully used to achieve "two full coverage", covering 31 provinces nationwide and all fields of health and family planning supervision and law enforcement work. According to the focus of work in 2017, the newly revised "Regulations on the Administration of Vaccine Circulation and Vaccination", the use of antibiotics, and nucleic acid testing in blood stations will be supervised and inspected using a "double random and one public" approach.
On August 10th, the National Health and Family Planning Commission held a regular press conference on the progress and effectiveness of the work related to "delegating control and service". Gong Xiangguang, Deputy Inspector of the Legal Department of the National Health and Family Planning Commission, introduced that as of the end of April 2017, there were 444000 social medical institutions nationwide, accounting for 45% of the total number of medical institutions; There are 16900 social hospitals, accounting for 57.2% of the total number of hospitals. Since 2011, the number of public hospitals has remained basically unchanged, while the cumulative number of social hospitals has increased by 100%.
The reform of "regulating and delegating services" in the healthcare sector of the State Council has also achieved certain results:
1、 We have formulated the Guiding Principles for the Planning of Medical Institution Establishment (2016-2020), which reserve a certain proportion of resource allocation space for social medical institutions, such as beds and large equipment. On the premise of meeting the planned total amount and structure, the restrictions on the number and location of social medical institutions will be lifted.
2、 Encourage the participation of social medical institutions through technical support, talent cultivation, and other means. A total of 28 national level clinical key specialized projects have been established to support social medical institutions, with a total investment of 140 million yuan. Provincial and municipal level key specialized projects also have corresponding funds to support social medical institutions. In terms of designated areas for the new rural cooperative medical system, it is required to include eligible social medical institutions in the designated scope, and provide equal treatment with public medical institutions.
3、 Remove the restriction that "medical personnel who are on the job, resign due to illness, or remain on duty without pay shall not apply for the establishment of medical institutions"; Add five categories of independent medical institutions, including medical laboratory, pathological diagnosis center, medical imaging diagnosis center, hemodialysis center, and hospice care center.
4、 The establishment of a regional registration system for physicians has further promoted the orderly flow and scientific allocation of medical resources. At present, there are a total of 66000 physicians practicing in multiple institutions across the country, of which 69.6% are engaged in social medical services.
5、 We will comprehensively implement the reform of electronic registration management, with electronic registration management reform as a breakthrough point in various regions, providing the "last mile" for the approval process of social medical and multi-point practice of physicians.