Latest news!Effective March 1

2022-07-30 0 By

The National Health Commission, the National Medical Insurance Administration, the National Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics Support Department of the Central Military Commission have issued a circular to further improve the utilization of medical resources, reduce the burden of people seeking medical treatment, and ensure the quality and safety of medical care.The measures shall come into force on 1 March 2022 left left left on the mutual recognition of test results were issued by the medical establishment inspection notice to the management of reading inspection is an important content of medical service, implement the inspection results mutual recognition between different medical institutions, improve the utilization of medical resources, reduce medical costs, improve the efficiency of diagnosis and treatment,We will further improve people’s medical experience.In order to do a good job in this regard, the NHC, the National Medical Insurance Administration, the National Administration of Traditional Chinese Medicine, and the Health Bureau of the Logistics Support Department of the CMC jointly issued the Administrative Measures for Mutual Recognition of Examination and Test Results in Medical Institutions (hereinafter referred to as the Administrative Measures).The Administrative Measures are divided into 7 chapters and 39 articles, clarifying the requirements for mutual recognition of medical institutions’ inspection and test results from the aspects of organizational management, mutual recognition rules, quality control, support and guarantee, supervision and management, etc.”Management method” to the responsibility of the relevant departments of the division, clearly put forward a medical institution shall, in accordance with the “in order to ensure the quality and safety for the bottom line, on the premise of qualified quality control and to reduce the burden of patients as the guidance, in order to satisfy the demands of diagnosis and treatment, with standard for judging accepts doctor” the principle of mutual recognition of the work to carry out the inspection results.At the same time, it clarified the basic requirements for mutual recognition, put forward specific conditions that can be re-examined, and asked medical staff to strengthen doctor-patient communication. For inspection items that have not been mutually recognized, they should give explanations and fully inform the purpose and necessity of re-examination.Chapter I General Provisions Article 1 In order to further improve the utilization rate of medical resources, reduce the burden of medical treatment for the masses, and ensure the quality and safety of medical treatment,According to the basic medical and health and the health promotion law of the People’s Republic of China “the law of the People’s Republic of China on medical practitioners law”, the “regulations on the administration of medical institutions” regulations on the supervision and administration of medical insurance fund use the medical quality management methods of medical institution clinical laboratory management method “and other relevant laws and regulations and these measures.Article 2 The term “examination results” as mentioned in these Measures refers to the images or data information obtained from human body examination by means of ultrasound, X-ray, nuclear magnetic resonance imaging, electrophysiology, nuclear medicine, etc.The term “test result” refers to the data information obtained by biological, microbiological, immunological, chemical, hematological, biophysical, cytological and other tests on materials from human body.The examination results do not include the diagnosis issued by a physician.Article 3 These measures shall apply to medical institutions at all levels and of all types.Article 4 Medical institutions shall, in accordance with the principle of “ensuring quality and safety as the bottom line, on the premise of qualified quality control, on the guidance of reducing the burden of patients, on the basis of meeting the needs of diagnosis and treatment, and on the basis of the judgment of the receiving physicians”, carry out the work of mutual recognition of examination and test results.Chapter II Organization and Administration Article 5 The NHC shall be responsible for the administration of mutual recognition of examination and test results among medical institutions throughout the country.The National Medical Insurance Administration has promoted the mutual recognition and support of examination and test results of medical institutions nationwide within the scope of its responsibilities.Local health administrative departments shall be responsible for the administration of mutual recognition of examination and test results of medical institutions within their respective administrative areas.Local competent medical security departments shall promote mutual recognition and support of the examination results of medical institutions within their respective administrative areas within the scope of their responsibilities.The State Administration of Traditional Chinese Medicine and the competent military health departments shall be responsible for the administration of mutual recognition of the inspection results of traditional Chinese medicine and military medical institutions within the scope of their respective functions.Article 6. The local health administrative department of health shall strengthen the organization and management of medical institutions within their respective jurisdictions, medical institution and its medical staff instruction inspection results mutual recognition work, according to the requirements of the national health information platform construction function to guide, to strengthen the construction of the regional platform, promote jurisdiction check test results of each medical institutions to be Shared.Article 7 The medical quality control organizations (hereinafter referred to as quality control organizations) at various levels and in various specialties established or designated by local health administrative departments according to the Medical Quality Control Measures shall, under the guidance of the health administrative departments at the same level, formulate and perfect the quality evaluation indexes and quality management requirements of the inspection and inspection items at the same level.Quality control organizations at all levels shall strengthen the quality management of the local professional inspection and testing items, regularly standardize the quality evaluation work, and promote the local medical institutions to improve the quality of inspection and testing.Article 8 Medical institutions shall, in accordance with the requirements of hospital informatization construction standards and specifications, strengthen the construction of hospital information platform with electronic medical records as the core.Establish and improve the management system of mutual recognition within the institution, strengthen personnel training, standardize work procedures, and provide necessary equipment, facilities and safeguard measures for relevant medical personnel to carry out mutual recognition work.Article 9 A hospital led by a medical association shall promote the interconnection of data and information within the medical association, strengthen the quality control of inspection and testing, improve the homogenization level of inspection and testing, and realize the mutual recognition and sharing of inspection and testing results.Article 10 Medical personnel shall abide by the professional norms, abide by medical ethics, make rational diagnosis and treatment, strive to improve their professional level and service quality, and fully recognize the results of qualified examinations and tests.Chapter III Rules for Mutual Recognition Article 11 The inspection and inspection items to be carried out for mutual recognition shall have good stability and unified technical standards to facilitate quality evaluation.Article 12 The scope of mutual recognition shall be the whole country if they meet the national quality evaluation index and participate in the inspection items that pass the national quality evaluation.Meet the local quality evaluation index, and participate in the local quality control organization quality evaluation qualified inspection items, mutual recognition scope is the corresponding area of the quality control organization.Where different regions jointly carry out the work of mutual recognition of inspection and inspection by signing an agreement, the relevant regional health administrative departments shall jointly establish or designate a quality control organization to carry out relevant work.The scope of mutual recognition shall be the area of agreement for those who participate in the relevant quality evaluation and are qualified.Article 13 The marks for mutual recognition of examination and test results of medical institutions shall be unified as HR.Inspection and inspection items that are qualified in the quality evaluation carried out by quality control organizations at all levels shall be marked with the corresponding range of mutual recognition + mutual recognition mark.For example, “national HR”, “Beijing-Tianjin-Hebei HR”, “Beijing Xicheng HR”, etc.Inspection items that fail to participate in the quality evaluation as required or fail to pass the quality evaluation shall not be marked.Article 14 The provincial health administrative department shall guide the medical institutions under its jurisdiction to unify the forms of inspection and testing results report forms, and indicate the testing methods used and the reference intervals for the inspection results.Medical institutions are encouraged to present the results of tests that are mutually recognized within the same area in a single report form, and to mark the corresponding mutually recognized area and mutual recognition mark on the report form.Article 15 Local health administrative departments shall guide quality control organizations at the same level to sort out the list of items mutually recognized by medical institutions under their jurisdiction on a regular basis, and strengthen publicity according to relevant provisions, so as to facilitate the inquiry and understanding of medical institutions and the public.Article 16 Medical institutions and their medical personnel shall, on the premise of not affecting the diagnosis and treatment of diseases, recognize each other the results of examinations and tests marked with the marks for mutual recognition of the whole country or the region where the institutions are located.Medical personnel are encouraged to recognize the results of other examinations based on clinical practice and on the premise of not affecting the diagnosis and treatment of diseases.Article 17 Medical institutions and their medical personnel shall not repeat the examinations and tests provided by patients that meet the conditions for mutual recognition and meet the needs of diagnosis and treatment.Article 18 Medical personnel shall, according to the patient’s condition, issue medical advice for examination and verification.The inspection and inspection items that meet the conditions of mutual recognition shall not be charged again in the form of packaging with other items.(1) It is difficult to meet the needs of clinical diagnosis and treatment because of changes in the patient’s medical condition and the result of examination and inspection is not consistent with the patient’s clinical manifestations and disease diagnosis;(2) the examination results have changed rapidly in the course of disease development and evolution;(3) the examination items are of great significance for the diagnosis and treatment of diseases (such as before major medical measures such as surgery and blood transfusion);(4) the patient is in a state of emergency such as emergency or first aid;(5) those involving judicial, disability and illness retirement appraisals;(6) other circumstances that warrant review.Article 20 Medical institutions, where conditions permit, may open outpatient clinics for examination and testing, where medical practitioners specializing in medical imaging and radiation therapy or medical laboratory and pathology make home visits and independently provide diagnosis and report services.Article 21 Medical institutions and their medical personnel shall strengthen communication between doctors and patients. If the items of examination and inspection are not mutually recognized, they shall give good explanations and fully inform the purpose and necessity of the re-examination.Chapter IV Quality Control Article 22 The instruments and equipment, reagents and consumables used by medical institutions in carrying out inspection and inspection shall meet the relevant requirements, and the instruments and equipment shall be verified, tested, calibrated, stability measured and maintained according to the provisions.Article 23 A medical institution shall strengthen the inspection and inspection of the quality management of the department, establish and perfect the quality management system, and take the quality management situation as an important indicator of the comprehensive objective assessment of the department heads.Article 24 A medical institution shall carry out indoor quality control in a standardized manner, and timely and accurately report its own indoor quality control and other relevant quality and safety information to the administrative department of health or the quality control organization according to relevant requirements.Article 25 Medical institutions shall participate in quality evaluation conducted by quality control organizations in accordance with relevant provisions.The inspection and inspection items marked with mutual recognition mark shall participate in the corresponding quality evaluation at least once every six months.Article 26 Local health administrative departments and the quality control organizations entrusted by them shall, in accordance with relevant provisions, make regular spot checks on the quality of the medical institutions under their jurisdiction.The sampling inspection shall be organized and carried out in the way of “two random inspections and one open inspection”.Chapter V Support and Guarantee Article 27 Local health administrative departments shall strengthen the capacity building of inspection and testing under their jurisdiction, organize regular personnel training, on-site inspection and result monitoring.Article 28 If the results of the examination and inspection can meet the needs of diagnosis and treatment, the medical institution shall charge the corresponding fees for door (urgent) diagnosis and treatment without extra charge.(2) If the inspection and test results meet the requirements of mutual recognition, but the mutual recognition of inspection and test results can be completed only with the joint participation of the corresponding inspection and test departments, the consultation fee in the hospital can be charged based on the consultation fee according to the price policy implemented by the hospital.(3) Where the examination results meet the conditions for mutual recognition, but fall under the circumstances specified in Article 19 of these Measures and cannot play an auxiliary role in diagnosis, and re-examination is really necessary, the medical service fees actually incurred shall be charged.Article 29 Medical security departments at all levels shall actively promote the reform of payment methods, guide medical institutions to take the initiative to control costs, strengthen the vertical analysis and horizontal comparison of medical service behaviors, and strengthen the performance evaluation and assessment mechanism for the use of medical insurance funds.At the same time, the total budget of medical insurance funds shall be reasonably determined, and the total budget of regions and individual medical institutions shall not be reduced due to mutual recognition of the inspection results.Article 30 Medical institutions with conditions may include the mutual recognition of examination and test results carried out by medical personnel in their performance distribution and appraisal mechanism.Article 31 Medical security agencies at all levels are encouraged to take the mutual recognition of examination and test results carried out by medical institutions as the evaluation standards for designated medical insurance institutions.Chapter VI Supervision and Administration Article 32 Local health administrative departments shall have the right to supervise and inspect the work of mutual recognition of medical institutions within their jurisdiction by means of consulting and recording, etc. Medical institutions shall not refuse, obstruct or conceal the relevant information.Article 33 Local health administrative departments shall conduct regular work assessment, and investigate relevant liabilities of medical institutions and their medical personnel in violation of relevant provisions in accordance with laws and regulations.Article 34 Local health administrative departments shall make full use of information means to conduct real-time monitoring of mutual recognition of examination and test results and data sharing of medical institutions, and put forward improvement requirements for medical institutions with prominent problems.Article 35 In case of disputes arising from mutual recognition of inspection and inspection results, each responsible party shall bear corresponding liabilities in accordance with laws and regulations.Article 36 In case of forging, altering, concealing or altering the inspection results and causing adverse consequences, the violator shall bear corresponding responsibilities according to laws and regulations.Chapter VII Supplementary Provisions Article 37 The power of interpretation of these Measures shall be vested in the National Health Commission and the National Medical Insurance Administration.Article 38 The provincial health administrative departments shall, in accordance with these Measures and in light of the actual local conditions, formulate specific implementation plans.Regions where conditions permit will be encouraged to jointly formulate implementation plans and promote cross-provincial mutual recognition of inspection and inspection results.Article 39 These Measures shall take effect as of March 1, 2022.(Hebei Daily, National Health Commission)