Implementation plan of county medical association

20 17 county medical association implementation plan 1 in order to further deepen the comprehensive reform of medical and health system in our county and accelerate the realization? Primary diagnosis, two-way referral, fast and slow division, up and down linkage? Graded diagnosis and treatment mechanism, so that the masses can enjoy quality medical services nearby, according to the spirit of the notice of "Guiding Opinions on Promoting the Construction of Medical Consortium in Fujian Province (Trial)", combined with the actual situation of our county, this plan is formulated.

First, the general idea.

Medical consortium refers to a vertical cooperative organization formed by medical and health institutions of different grades, categories, regions and subordinate relationships through voluntary consultation according to the needs of coordinated development of medical services. ? Zhenghe County Regional Medical Association? (hereinafter referred to as the medical association), in accordance with the principles of primary diagnosis, two-way referral, fast and slow division of labor, up-and-down linkage, resource sharing and mutual benefit, with Zhenghe County General Hospital (county hospital, county traditional Chinese medicine hospital, county maternal and child hospital) as the lead unit, the county medical association is composed of 8 township hospitals and 2 community health service centers. In accordance with the principles of unchangeable administrative subordination of member units, unchangeable legal entity, unchangeable ownership of property rights, unchangeable legal liability, unchangeable basic functions, unchangeable employees' identity and unchangeable supervision mechanism, the medical association will give full play to the technical advantages of diagnosis and treatment in county-level hospitals, take collaborative service as the core, take technical support as the support, focus on overall management of medical services, and focus on rational utilization of existing medical resources, and gradually realize a more closely integrated management form of people, finances and materials.

II. Objectives and tasks

20 17 will be piloted first. County Hospital and Tieshan Health Center explore the establishment of a loose medical consortium with technology, talents, management and interests as the link, and County Hospital of Traditional Chinese Medicine and Ling Yao Health Center establish a close (trusteeship) medical consortium with personnel, assets, technology, service, information and management as one. By 20 17, an operation system of medical association with clear powers and responsibilities, clear functions and effective operation will be gradually formed, which will promote the coordinated development at the county and township levels, improve the allocation and utilization rate of medical resources in the county as a whole, continuously improve the level of medical technology and service capacity, reduce the outflow of hospitalized patients and accelerate the realization? A minor illness never leaves the country, and a serious illness never leaves the county? The goal of medical reform is to sum up the experience of medical associations in time and gradually expand the coverage.

Three. Organizational structure and governance form

The medical consortium implements the leadership and management system of the board of directors, with the main person in charge of the lead hospital as the chairman and the main person in charge of each member unit as the vice chairman, and the office of the board of directors is located in the lead hospital. The Council shall formulate the articles of association of the medical association, and define the organizational nature, purpose, task, members, management system, scope of duties, rights and obligations, working rules and other provisions of the medical association. The close medical association should establish a corporate governance structure, stipulate the rights and obligations of the board of directors, management, medical institutions and other relevant parties by formulating articles of association, coordinate the allocation and integration of resources within the medical association, and promote the vertical flow of high-quality resources.

(1) Responsibilities of the Board Office:

1. Be specifically responsible for the implementation of all work, and do a good job in the guidance, supervision, assessment and evaluation of the Medical Association Branch. The main person in charge of the two units is the first person in charge, and the heads of various departments give strong support and make every effort to promote the work of the medical association to ensure the expected results.

2. The medical liaison office shall hold a medical liaison meeting once a month to summarize the problems existing in this month's work, study solutions and arrange tasks for next month.

(2) Rewards:

The original institutional setup and administrative affiliation of the township hospitals (community health service centers) of the member units of the medical association remain unchanged, and the name of the unit remains unchanged. Zhenghe County General Hospital Medical Association? Branch? Brand.

Fourth, operation management.

(a) to establish and improve the grading diagnosis and treatment, two-way referral system.

1. The member units of the medical association have established and improved relevant systems, explored and introduced various measures to facilitate the people to seek medical treatment, and guided the masses to make their first visit in the medical association branch. For patients who need to be transported up and down, both parties shall establish a contact system and designate a special person to provide them? One stop? Referral service.

2. Establish a two-way referral system between medical associations, establish referral files, and formulate reasonable, convenient and smooth two-way referral rules according to the principles of voluntary, graded diagnosis and treatment, continuous treatment, safety and convenience, and minimizing the burden of medical expenses for patients. Only under the premise of two-way referral can we enjoy the medical insurance tilt policy.

3. In line with the principle of being responsible for patients and gradually improving the diagnosis and treatment level of doctors in lower-level hospitals, doctors at higher levels have the obligation to follow up and guide patients transferred from medical associations; Doctors in lower-level hospitals have the right to take part in rounds of patients transferred from medical associations to hospitals.

4. Specific referral requirements shall be implemented in accordance with the provisions of the two-way referral system and process.

(2) Enjoy resources * * *

1. Realize the unified distribution and use of bed resources in member units of medical association.

2. Free distribution of rescue drugs (epinephrine, norepinephrine, isoproterenol, lobeline, nikethamide, Ceylon, etc.). ) is a branch.

3. Carry out the procurement of pharmaceutical consumables with quantity, and solve the problem of difficult distribution due to low dosage in primary health centers.

4. Provide technical support for equipment maintenance.

5. To be responsible for the quality control of inspection, imaging and pathology of the medical association branch, and to guide and supervise the inspection and imaging work of member units.

6. To undertake the disinfection and supply work in the center of the medical union branch, and the medical union branch agrees to be uniformly deployed by the disinfection and supply center of the general hospital according to the specific conditions of each hospital.

7. On the premise of unifying quality control standards and ensuring medical safety, expand the mutual recognition scope of medical association examination results and reduce repeated inspections. Inspection and mutual recognition must be carried out under the premise of meeting medical safety standards, and can be gradually recognized by projects and implemented step by step.

8. Make full use of continuing education resources in general hospitals to achieve the goal of * * * learning together. Notify the relevant personnel of the medical association branch to participate in continuing education and training every month.

9. Actively promote the emergency response mechanism. Relying on the political and health information cloud platform, the emergency medical management information system is built in the medical association, and the emergency coordination linkage mechanism is established to realize the timely sharing and communication of emergency information and the centralized deployment and use of emergency resources.

(3) personnel exchange

1. Provide free further education for medical staff in medical trade union branches, and adopt? One-to-one teaching mode trains a group of medical staff who can diagnose and treat common diseases and frequently-occurring diseases and clearly diagnose chronic diseases for primary medical institutions.

2. Actively explore the establishment of the exchange and rotation mechanism of medical staff in county-level public hospitals and primary medical and health institutions, and implement a personnel management system of unified recruitment, unified management, unified use and unified training.

(4) Technical guidance

1. Help the Sports and Physical Education Branch of the Medical Association to establish and improve relevant working systems such as internal management, public health, medical service and medical safety, further optimize the workflow, and improve the medical service capacity and management level of the Sports and Physical Education Branch of the Medical Association.

2. Explore and develop clinical pathway management, electronic medical records and other service means within the medical association. Accelerate the management of clinical pathway and gradually realize the standardized treatment of single disease.

3. According to the needs of each hospital, arrange corresponding experts to the medical association branch to carry out consultation, difficult case discussion, teaching rounds, appropriate technical guidance and other collaborative services at any time.

4. Build a remote diagnosis and treatment platform among the member units of the medical association to improve the quality and efficiency of medical services by means of information technology; Gradually realize the functions of remote consultation and remote specialized diagnosis (pathology, examination, imaging, etc.). ), two-way referral, emergency command and so on.

5. Establish WeChat group and QQ group of medical associations, and build an information platform for learning and communication.

(5) Improve the performance distribution mechanism of member units of medical associations.

According to the two-way referral situation, service quantity, quality and patient satisfaction of member units, the performance appraisal is implemented, the enthusiasm of medical staff at county and township levels is fully mobilized, and the internal performance distribution mechanism of member units is established and improved. The specific implementation rules shall be formulated separately by the member units of the Medical Association.

(six) to carry out health service management.

Accelerate the informatization construction of member units of medical association, realize the effective connection between residents' health records and medical information as soon as possible, and realize the safe interconnection of medical service information among member units of medical association. Pay attention to the combination of general practice and specialty. Specialists in secondary hospitals and general practitioners in medical associations can jointly diagnose and treat related diseases and improve the health management level of residents.

(VII) Relevant policy support

1. Patients are referred in the medical association in two directions, and the referral and reimbursement procedures of the new rural cooperative medical system (medical insurance) are gradually simplified according to the hospital transfer policy, and the two-way referral of the new rural cooperative medical system (medical insurance) is cancelled. Relax the scope of clinical medication in primary medical institutions, and take the medical insurance (new rural cooperative medical system) drug reimbursement catalogue as the primary drug catalogue to meet the needs of two-way referral.

2. Patients who are not within the scope of diagnosis and treatment subjects in primary medical institutions or who suffer from acute, dangerous, difficult or severe diseases shall be transferred to hospitals at or above the county level by primary health centers (community health service centers), and the reimbursement ratio of the new rural cooperative medical system shall be implemented according to the policies of township health centers (community health service centers).

3. In order to promote the sinking of high-quality medical resources to the county level, if the medical staff of the superior hospital in the medical association have worked in the township health center for more than 6 months, it will be regarded as going to the countryside before promotion, which will be the main basis for evaluating and hiring professional titles. Medical staff in primary health centers (community health service centers) go to higher hospitals for further study and work. Encourage the medical staff and management personnel of superior hospitals in the medical association to serve as presidents, academic leaders and heads of management departments in primary medical institutions, inspect and guide the two-way referral work, improve the management level at the grassroots level, and give priority to promotion and reuse with outstanding performance.

4. In order to speed up the pace of medical association construction, under the premise of not increasing the expenditure of primary medical institutions, and taking into account that the medical staff in the superior hospital can serve at the grassroots level with peace of mind, the personnel relationship of the medical staff dispatched by the superior hospital remains unchanged, and the wages and benefits are paid by the original unit (not lower than the same level of the original unit). For the pilot units that have established medical associations and completed the established assessment indicators, the county medical management Committee will extract a certain proportion from the central financial subsidy funds for the comprehensive reform of county-level public hospitals to give subsidies. Units that establish close medical associations will be subsidized by 200,000 yuan per year, and units that establish loose medical associations will be subsidized by 654.38+10,000 yuan per year. The funds are mainly used for transportation and accommodation subsidies and incentives for sending medical personnel.

(eight) establish and improve the assessment mechanism.

1. Establish and improve the internal assessment mechanism of medical associations. The board of directors of the medical association shall establish an assessment mechanism for the operation of the medical association, and take the performance of functions and responsibilities, division of labor and cooperation, ability improvement and compliance with the articles of association of the member units in the medical association as the assessment indicators. In the assessment, it is found that members who violate the target requirements and basic principles may be required by the lead hospital to rectify, and their membership will be terminated if they are not rectified or are not in place.

2. Strengthen the functions of industry supervision and management. The administrative department of health and family planning is responsible for guiding the construction of medical associations, regularly or irregularly checking the operation of medical associations, and promptly correcting the behaviors of member units in medical associations that violate the target requirements and basic principles. There is a medical association that seriously violates the target requirements and basic principles. The administrative department of health and family planning ordered the lead hospital to dissolve the medical association, and held the principal responsible persons of the lead hospital and relevant member units accountable.

3. Improve the performance appraisal mechanism of medical associations. The administrative department of health and family planning should take the implementation of responsibilities and tasks of medical institutions at all levels in the medical association, the improvement of grassroots talent structure and service ability, the implementation of two-way referral, the implementation of primary diagnosis and graded diagnosis and treatment system as the main content of performance appraisal. The assessment results are linked to hospital grade evaluation, total performance salary, financial allocation, appointment and removal of president, medical insurance payment, etc.

Verb (abbreviation of verb) organization and implementation

(1) Strengthen organizational leadership. Implementing the vertical integration of medical resources and promoting the construction of medical consortia is an important goal and task of the comprehensive pilot of medical reform. All medical and health units should earnestly strengthen organization and leadership, implement responsibilities, make unified planning for the construction of medical complexes in accordance with the requirements of this implementation plan, clarify the construction objectives and progress, and actively and steadily promote implementation.

(2) Strengthen supervision and guidance. It is necessary to carry out regular supervision, understand the situation of medical association construction, sum up the experience of different modes of medical association construction in time, understand the new situation and new problems in the work, put forward suggestions for improvement, and enhance the initiative, foresight and creativity of the work.

(3) Actively publicize and guide. It is necessary to strengthen public opinion propaganda, strive for the understanding and support of all sectors of society for the construction of medical associations, and form a social atmosphere to promote reform. Guide patients to gradually change their habits of seeking medical treatment, and form a basic medical treatment behavior of first consultation, step-by-step referral and two-way referral, laying the foundation for forming a graded diagnosis and treatment pattern.

20 17 the second implementation plan of county medical association is to comprehensively implement the spirit of deepening the reform of medical and health system by the municipal party committee and the municipal government, give full play to the overall benefits of county medical and health resources, accelerate the construction of close medical associations in counties, townships and villages, and let the people enjoy quality medical and health services nearby. According to the Guiding Opinions on Establishing Close Integrated Medical Associations in Xining by the General Office of Xining Municipal Party Committee and the General Office of the Municipal Government (Ning Ban Fa [2007])

I. General requirements

Insist? Protect the basics, strengthen the grassroots, and build mechanisms? Principle, adhere to the direction of serving people's health, integrate and optimize county medical and health resources, and form a compact integrated medical consortium (hereinafter referred to as medical consortium) with county hospitals as the core and composed of township hospitals (including community health service centers, the same below) and their village clinics. Leading? Role, the implementation of management, management, personnel diversion, to promote the focus of medical and health work and the sinking of high-quality medical resources, improve the comprehensive service capacity, service efficiency, technical level and management level of medical and health institutions, and strive to make more than 90% of patients see a doctor in the county.

Second, the way of formation.

According to the principle of administrative division and convenience for people to seek medical treatment, the first and second people's hospitals in the county and the traditional Chinese medicine hospital in the county are the core hospitals, and three closely integrated medical complexes are established. The specific forming method is as follows:

(1) First Medical Association of Huangzhong County. The first people's hospital of the county is the core hospital, and it is composed of seven township (center) health centers in Shangxinzhuang, Tianjiazhai, Xibao, Tumenguan, Ganhetan, Qunjia and Dayuan and 152 village clinics.

(2) The Second Medical Association of Huangzhong County. It is composed of the Second People's Hospital of the county as the core, seven township (center) hospitals in Lanlongkou, * * River, Lijiashan, Shangwuzhuang, Haizigou, Dacai, Doba Community Health Service Center and its 224 village clinics.

(3) Huangzhong Third Medical Association. It consists of county traditional Chinese medicine hospital as the core, county Tibetan medicine hospital, Rouchard community health service center and its 20 village clinics. The First People's Hospital of Huangzhong County, the Second People's Hospital of Huangzhong County and Huangzhong County Chinese Medicine Hospital were added respectively? Huangzhong county first medical complex core hospital, Huangzhong county second medical complex core hospital, Huangzhong county third medical complex core hospital? Brand, township hospitals, community health service centers increase the brand of core hospital branches of medical complexes, and administrative village clinics increase the brand of village clinics of medical complexes.

Third, the management of medical associations.

All medical institutions of the medical association adhere to the legal person qualification, financial compensation policies and channels, the total number of approved personnel, functional orientation and public health responsibilities? Five unchanged? Under the principle of county public hospital management committee, the system of medical association council and board of supervisors under the leadership of county public hospital management committee should be established, and the power operation mechanism of decision-making, implementation and supervision with mutual division of labor and checks and balances should be constructed.

(1) management mode. Administrative management, the establishment of Huangzhong County Public Hospital Management Committee (hereinafter referred to as? Medical Committee? (Annex 1), the director of the Medical Management Committee is the county magistrate in charge of the county government, the deputy director is the director of the Health and Family Planning Bureau, and the members are composed of the departments of development and reform, finance, human society, civil affairs, supervision, auditing, and organization. The Medical Management Committee is mainly responsible for the development planning, major project implementation, financial investment, operation supervision, performance appraisal and other responsibilities of the medical association. In the aspect of enterprise management, the modern hospital management system was innovated, and the Council of Medical Consortium was established. The Council consists of the president and vice president of the core hospital, the chief accountant and the main person in charge of the township hospital. The president and vice president of the medical complex are concurrently appointed by the president and vice president of the core hospital. The president and vice president of the core hospital of the medical association shall be managed according to the principle of party management of cadres, which shall be decided by the county party Committee. The chief accountant is appointed by the Party Committee of the County Health and Family Planning Bureau. The person in charge of township hospitals and community health service centers shall be appointed by the president of the core hospital of the medical association and reported to the county-level health and family planning department for the record. In terms of supervision and management, the Board of Supervisors of Medical Association (hereinafter referred to as? Supervisory board? ), the chairman of the board of supervisors shall be managed in accordance with the principle of party management of cadres, which shall be decided by the county party Committee. The members of the Board of Supervisors are composed of 5-7 members of the Disciplinary Committee of each core hospital, the chairman of the trade union and the employee representatives of its member units, and exercise supervision over the work of the Medical Association. 、

(2) Operation mode. The medical association implements the responsibility system of the president of the core hospital under the unified leadership of the Council, and implements the term target responsibility system and accountability system. The Council should straighten out the relationship between responsibilities and rights of medical and health institutions, implement unified management of personnel deployment assessment, finance, equipment, medicines and business, and implement systems such as financial budget, salary distribution, appointment and removal of cadres, decision-making on major issues, implementation of major projects, and collective discussion on the use of large amounts of funds; Unify the rules and regulations, service standards and technical specifications of medical institutions in the medical association, and promote the scientific, standardized and modern management of medical institutions. The board of directors should set up an internal organizational management structure and set up functional departments such as administrative management, business management and financial management. The functional departments are located in the core hospitals, and the specific responsibilities are determined by the board of directors. According to the current management mode, township hospitals are responsible for the management of village clinics in their own units and regions.

(3) Division of responsibilities. 1, administrative department of health and family planning. To perform the responsibilities of investors on behalf of the government, be responsible for the setting planning, technical access, quality supervision and performance evaluation of medical associations in the county, and provide guidance and services for the development planning, financial investment and major project implementation of medical associations; Actively coordinate relevant departments to provide various policy support for the medical association, and solve the difficulties and problems of the medical association in time.

2. Core hospital. Mainly responsible for the daily operation, supervision and inspection of the medical association, and constructing the internal division of labor and cooperation mechanism of the medical association; Responsible for formulating working rules such as two-way referral, key specialty construction, counterpart support, personnel teaching and training, green channel and remote consultation; To undertake the diagnosis, treatment and referral of general difficult and complicated critical diseases in the county.

Among them, on the basis of performing the duties of core hospitals, county traditional Chinese medicine hospitals have established a technical cooperation model with provincial Chinese and Tibetan medical hospitals, promoted appropriate technologies of Chinese and Tibetan medicine to primary medical institutions in the county, and guided the development of Chinese and Tibetan medical services.

3. Township hospitals and community health service centers. To undertake the diagnosis, treatment and referral of common and frequently-occurring diseases, basic public health, health supervision and coordination, family planning technical services, etc. ; Responsible for the training of rural doctors, the guidance, inspection and assessment of village clinics and other business management; Complete the corresponding work assigned by the Council of Medical Association.

4. Rural clinics. Undertake the basic medical and public health services in the village, perform the duties of family doctors according to the service contents signed by family doctors, and guide patients to refer them step by step; Complete other tasks assigned by the medical association and the Council of township hospitals.

Fourth, the task

(1) Reform the accounting method of financial subsidies and establish a unified financial management and operation mechanism. Each medical association shall set up a financial management center, and strengthen the cost accounting and control of each member unit in strict accordance with the Measures for Financial Management of Contract Medical Associations in Huangzhong County (Trial) (Annex 2). The financial management center manages and distributes all kinds of special and subsidy funds in a unified way, implements hierarchical accounting, sets up detailed accounts in accordance with the corresponding financial management system and accounting system, and accounts for all assets, liabilities, income, expenses and benefits. Improve the medical service charge system, establish the medical charge publicity system, inquiry system and fee list system, and improve the transparency of charges. Establish and improve the internal financial and asset management system, allocate and use funds and assets in a unified way, and ensure the staff salaries and normal operating expenses of each member unit. Establish and improve the internal audit system, improve the internal supervision and control mechanism, standardize the management of revenue and expenditure, and rationally resolve debts.

(2) Reform the personnel distribution system and establish a unified personnel management system. The Council of Medical Federation exercises the autonomy of unified talent management and rational deployment within the total amount of approved post responsibilities. Strictly implement the Personnel Management Measures of Huangzhong County Contract Medical Consortium (Trial) (Annex 3), maintain the relative stability of primary medical and health personnel, establish a dynamic adjustment mechanism, innovate personnel management methods, and gradually implement the filing system. In terms of post setting, income distribution, title evaluation, management and use, etc. According to? Old people use old methods, new people use new methods? , according to the relevant provisions of the state. The full employment system, post management system and post performance salary system will be implemented to form a flexible employment mechanism that can enter and exit, and can be promoted and demoted. In the medical association, a number of medical personnel who can diagnose and treat common diseases and frequently-occurring diseases are trained for primary medical institutions in various ways. It is necessary to establish a policy that the treatment of medical personnel working at the grassroots level is higher than the original treatment, and gradually realize the standardized and institutionalized management of all kinds of talents.

(3) Reform the payment method of medical insurance to ensure the standardized management of funds. On the basis of the existing management and settlement methods of designated medical and health institutions and retail pharmacies, the county social security bureau regards the three medical associations as the main designated medical institutions for employees' medical insurance and urban and rural residents' medical insurance, and the total amount of medical insurance payment rises moderately according to the growth of per capita disposable income of urban and rural residents in the previous year, and the unified package payment is established to establish a reasonable adjustment mechanism through consultation. According to the Implementation Opinions of Single Disease Payment of Basic Medical Insurance in Xining City and the Overall Implementation Plan of Basic Medical Insurance for Urban and Rural Residents in Xining City (Trial), the secondary hospitals with total amount control pay by disease (group) and bed day, and the primary medical institutions pay by service volume and per head. Appropriately open the gap between the deductible line and the payment ratio of county and township medical and health institutions in the medical association. Medical associations and various medical and health institutions determine the distribution methods and methods of medical insurance funds according to their functional orientation, service population and service volume. Actively support medical associations to carry out disease prevention and health management for urban and rural residents, give full play to the role of overall guidance and cost control of medical insurance, and improve the efficiency of the use of medical insurance funds.

(four) to establish and improve the centralized procurement system of pharmaceutical consumables to ensure the quality of drugs. All medical institutions should establish a sunshine procurement mechanism for drugs and medical consumables, and conduct procurement and distribution on the provincial centralized drug procurement platform. Drugs and medical consumables in village clinics are purchased online by township hospitals. On the basis of bargaining purchase with quantity in counties, we will actively explore the mechanism of centralized bidding, joint procurement and unified distribution of medical consumables. The Council of Medical Associations is responsible for supervising the procurement of medicines and medical consumables by member units, allowing medicines to circulate among medical associations, further improving the new mechanism of centralized procurement of medicines, and ensuring the supply, distribution, quality and safety of medicines.

(five) the establishment of a unified business and equipment management system, improve the quality of service at the grassroots level. The Council of Medical Federation is responsible for the business management of each member unit, strengthening the medical and health quality control of primary medical institutions, and regularly carrying out training guidance, supervision and evaluation and performance appraisal. Provide medical care, public health and family planning services for the masses in accordance with functional orientation and technical requirements. Strengthen the unified management and deployment of equipment, establish and improve the management system of medical equipment, and improve the utilization rate and intact rate of equipment. Strengthen the integrated management of village clinics, focus on standardizing basic public health, medical services and drug procurement and use, improve the performance appraisal and compensation mechanism at the village level, and gradually improve the service capacity of village clinics.

(6) Strengthen performance appraisal and establish a reasonable distribution mechanism. Strengthen the supervision and assessment of medical associations. According to the Administrative Measures for Performance Appraisal of Contract Medical Association in Huangzhong County (Trial) (see Annex 3), the county health and family planning, human society, finance and other relevant departments formulate performance appraisal indicators and scores, and conduct 1 performance appraisal every year. The assessment results are made public in time, and linked with the total performance salary, dean's salary, appointment and dismissal, rewards and punishments, etc., and an incentive and restraint mechanism is established. The medical association has formulated and improved the internal performance appraisal methods of member units and institutions, strengthened the supervision and performance appraisal system, and established a salary distribution system that conforms to the characteristics of the medical industry, striving to reflect the value of medical staff's technical services and fully mobilizing the enthusiasm of medical staff.

(7) Strengthen information construction and realize resource sharing. Accelerate the informatization construction of rural three-level health service network, open up vertical and horizontal link channels at county, township and village levels, and build medical management, financial management, personnel management, public health service management, drug management and performance management? Smart health? System, implementation? Internet plus basic public health services+chronic disease management? Mode. Establish a unified health database for urban and rural residents to realize the sharing of medical and health information within the county. With the help of remote medical consultation system, establish clinical examination, imaging, remote consultation, pathological examination and disinfection supply in core hospitals? Five * * * Enjoy Center? , realize the transmission and sharing of information and data, provide relevant technical support and services for primary medical institutions, and enable patients to be diagnosed by experts in primary superior hospitals. We will implement the system of mutual recognition of inspection results of medical institutions at the same level and the system of mutual recognition of inspection results of superior hospitals by subordinate member units, so as to reduce repeated inspections and reduce the burden of patients seeking medical treatment.

(eight) to establish and improve the grading diagnosis and treatment system, the masses to seek medical treatment nearby. All medical institutions of the medical association will further improve the grading diagnosis and treatment and two-way referral system according to policies and regulations and their respective functional orientation and scope of diagnosis and treatment. Primary medical institutions give priority to referral to the core hospitals within the medical association, and the core hospitals should establish two-way referral for patients? Green channel? Patients who have been transferred to primary medical institutions are given priority in receiving, checking and hospitalization, and patients with definite diagnosis and stable condition are transferred to primary medical institutions, and primary doctors are instructed to carry out follow-up treatment and rehabilitation. Medical associations should formulate specific implementation rules for reasonable, convenient and smooth graded diagnosis and treatment and two-way referral.

(nine) the implementation of convenience measures, highlighting the public welfare of medical institutions. Consolidate and innovate family contract service, family responsibility doctor and family medicine box? Three? Service mode: Family doctors provide full-course management services for common diseases, frequently-occurring diseases and chronic diseases. For patients who really need to go to a higher-level hospital for treatment, grassroots general practitioners take the initiative to get in touch with the core hospital of the medical association and give timely referral treatment. Seriously implement poor patients? Five exemptions and ten reductions? 26 policies to facilitate the people and benefit the people, highlighting the public welfare of medical institutions.

Verb (abbreviation for verb) job requirements

(1) Strengthen organizational leadership. Establishing a close medical association is a very complicated system engineering, which involves the establishment and perfection of a series of systems and mechanisms and requires the participation of many departments and the whole society. The Medical Management Committee should earnestly strengthen the organization and leadership, promote the construction of medical associations as a whole, and coordinate and solve the difficulties and problems in operation.

(2) Strengthen communication and coordination. County-level finance, human society, organization, health planning and other departments should actively cooperate with each other according to their respective responsibilities, give corresponding policy support to the formation of close medical associations, form joint efforts, and promote the smooth development of the formation work. The Council of Medical Association and member units should actively communicate, carry out their duties and responsibilities, and achieve practical results in promoting the management of medical associations.

(3) Strengthen supervision. County-level public hospital management committees should strengthen the guidance, coordination and supervision of the establishment of medical associations, timely reflect and solve the difficulties and problems in the establishment, conscientiously sum up work experience, constantly improve policies and measures, and urge all medical associations to advance steadily and orderly according to time nodes.

(4) Strengthen publicity. County Health and Family Planning Bureau, Radio, Film and Television Bureau, and all medical and health institutions should organize and carry out propaganda work on the purpose, significance and policies and measures of establishing medical associations, fully mobilize the enthusiasm and initiative of medical personnel to participate in the establishment of medical associations, and create a good public opinion atmosphere for the smooth establishment and effective operation of medical associations.