Deepen what-oriented reform of public hospitals

Introduction: Formulate an implementation plan for public hospital reform, continue to deepen the reform of public hospitals, and comprehensively promote the comprehensive reform of municipal public hospitals. The following is the public hospital reform implementation plan I brought, I hope it will be helpful to you.

1. Overall requirements

Implement the reform requirements of “separating political affairs, separation of management and office, separation of medicine, separation of for-profit and non-profit”, and adhere to the principle of “guaranteeing the basics, strengthening the grassroots, and The reform principle of "building a mechanism" and the reform direction of "the public welfare nature of public hospitals and equal emphasis on traditional Chinese and Western medicine", with the key to eliminating the mechanism of supplementing medicine with drugs, firmly seizes the strategic opportunity of the national implementation of the coordinated development of Beijing-Tianjin-Hebei and Hengshui City Taking advantage of the development opportunities of the comprehensive supporting reform pilot zone, we will comprehensively implement the reform of county-level public hospitals. County-level general hospitals that have been included in the reform must consolidate the results of previous pilot reforms, continue to deepen reforms, and improve mechanisms; county-level general hospitals that have not yet been reformed and all county-level public traditional Chinese medicine hospitals must comprehensively promote reform, focusing on management systems, Deepen reforms in the compensation mechanism, price mechanism, drug procurement, personnel and staff establishment, income distribution, medical insurance system, fiber department supervision mechanism, etc., and gradually establish a new operation mechanism to maintain public welfare, mobilize enthusiasm, and ensure sustainable operation.

2. Reform tasks and responsible departments

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(1) Reform management system.

1. Clear functional positioning. Clarify the functional positioning of county-level public hospitals as "medical and health service centers within counties, leaders of rural three-level medical and health service networks, links between urban and rural medical and health service systems, and important carriers for the government to provide basic medical and health services to county residents" and implement their public welfare nature , implement the health work policy of paying equal attention to traditional Chinese and Western medicine, and undertake the diagnosis and treatment of common and frequently-occurring diseases for county residents, critical and severe rescue and referral of difficult diseases, training and guidance for personnel of rural grassroots medical and health institutions, and some public health services, natural disasters and emergency response to public health emergencies. (The Municipal Health Bureau, the Municipal Development and Reform Commission, and the Municipal Finance Bureau are responsible. If multiple departments are responsible, the first department will be the leading department. If multiple departments are responsible separately, the leading department will be multiple departments. The same below)

2. Establish and improve the corporate governance structure. In accordance with the city's requirements for improving the corporate governance structure and de-administrative pilot work for public institutions, we actively explore the separation of management and offices, and rationally define the responsibilities and powers of the government, relevant departments and public hospitals in personnel, assets, finance, etc. The main model is to use directors The governance model will be a governance model with the decision-making layer and the management under its leadership as the main structure. Organizational forms such as the board of directors can also be explored. Establish a power operation mechanism with mutual division of labor and mutual checks and balances in decision-making, execution, and supervision. Implement the legal entity status of county-level public hospitals, fully enjoy independent operation and management rights, distribution rights and recruitment rights, and implement the "Interim Measures for Public Recruitment of Staff by Public Institutions in Hebei Province". Promote the de-administration of county-level public hospitals and gradually eliminate the administrative levels of hospitals. By the end of 20**, the head of the health and family planning administrative department will no longer be allowed to hold leadership positions in public hospitals. (The Municipal Health Bureau, Municipal Organization Office, Municipal Human Resources and Social Security Bureau, and Municipal Finance Bureau are responsible)

3. Reasonable allocation of resources. Before the end of 20**, the city’s regional health plan and medical institution establishment plan will be formulated and launched. Continue to promote the construction of county-level hospitals. Each county (city) must run a county-level public general hospital and a county-level public traditional Chinese medicine hospital, and at least one hospital must reach the second-level A level. County-level public hospitals are encouraged to use domestic equipment and devices. Appropriately increase the proportion of traditional Chinese medicine resources, and strengthen the basic conditions and capacity building of the traditional Chinese medicine departments of county traditional Chinese medicine hospitals and county general hospitals. Reasonably control the bed size and construction standards of county-level public hospitals, and strictly prohibit borrowing money for construction and debt purchase of large medical equipment. For localities and institutions that exceed scale, exceed standards, and use debt for construction, the relevant responsibilities of the government and the heads of medical institutions will be seriously investigated. Study and formulate reform policies and measures for hospitals run by state-owned enterprises. (The Municipal Health Bureau, Municipal Development and Reform Commission, Municipal Finance Bureau, and Municipal State-owned Assets Supervision and Administration Commission are responsible)