The latest notice of the General Office of the People's Government of Hebei Province is related to the reform of the medical and health system

Notice of the General Office of the People's Government of Hebei Provincial People's Government on Printing and Distributing the Reform of Hebei Province Deepening the Medical and Health System Reform 2022 Key Work Tasks

Hebei Zhengyao [2022] No. 109

The people's governments of each city (including Dingzhou, Xinji City), the management committee of Xiong'an New District, and relevant departments of the provincial government:

"Hebei Province Deepening the Reform of the Pharmaceutical and Health System in 2022" has agreed to the provincial government. It is now issued to you, please take it seriously.

The General Office of the People's Government of Hebei Province on August 5, 2022 Hebei Province Deepening the Reform of the Medical and Health System

2022 Key work tasks

In 2022, the overall requirements of the province's deepening medical and health system reform (hereinafter referred to as medical reform) work is to conscientiously implement the Party Central Committee and the State Council on deepening the decision -making and deployment of medical reform, adhere to the problem -oriented, focus on key areas, and accelerate the reform of medical care, medical insurance, medicine, and medical prices. Realize the implementation of the "Sanming Medical Reform Experience" in our province, and effectively promote 15 reform tasks to achieve practical results.

1. Further strengthen the leadership system of the Organization of the Medical Reform. Before the end of August, all cities and counties are the leaders of the party committee or government as the leader of the leading group of the medical reform. All localities should strengthen overall planning and tracking and monitoring, establish task accounts, schedule regular scheduling, supervise the implementation, and report on the work of the Provincial Medical Reform Office in each quarter. The units that lag in medical reform work shall be reported in a timely manner by the Provincial Medical Reform Office. [Provincial Commission for Health and Health, the government of various cities (including Dingzhou, Xinji City), and the management committee of the Xiong'an New District Management Committee are responsible for division of responsibilities. The following tasks must be responsible for each city (including Dingzhou, Xinji City) government and Xiong'an New District Management Committee, and will not be listed]

2. Accelerate the construction of regional medical centers and medical centers. Speed ​​up the construction progress of 5 national regional medical centers, and actively strive for more national regional medical centers and national medical centers to settle in Hebei. Fully support the construction of Xiong'an New District, and promote the implementation of the non -capital dredging project in Beijing Hospital. All the four provincial regional medical centers were launched. (The Provincial Development and Reform Commission, the Provincial Health and Health Commission, and the Provincial Administration of Traditional Chinese Medicine are responsible for division of responsibilities)

Third, more than 30%of counties (cities, districts) have completed the construction of a close medical community in the county. The quality of the top 100 county hospitals was launched. Before the end of the year, more than 30%of counties (cities, districts) have built a close -ups of medical communities to promote high -quality medical resources. Formulate relevant policies and measures such as the unified financial management management management of the community of medical communities in the county, and the medical insurance fund packaging and payment balance, and promote the substantial operation of the compact county medical community. (The Provincial Health and Health Commission, the Provincial Department of Finance, the Provincial Department of Human Resources and Social Security, the Provincial Medical Security Bureau, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

Fourth, consolidate the results of rural integration reform. To make good use of the resources to enrich the staff of the township health centers and the community health service center. Consolidate the "ten unification" management of rural integration and build 100 grass -roots medical and health institutions with specialized characteristics. Improve the quality of health management services of grass -roots medical institutions and family doctors (teams), promote long -term prescription services and improve relevant medical insurance payment policies. All kinds of doctors are encouraged to provide different forms of contracting services to primary medical and health institutions to improve the content of contracting services. Actively explore the reform of basic public health services, and gradually form a basic public health service mechanism led by public community health service agencies. (The Provincial Health and Health Commission, the Provincial Human Resources and Social Security Department, the Provincial Department of Finance, the Provincial Medical Security Bureau, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

5. The reform of the personnel compensation system of public hospitals has made breakthroughs. Deepen the reform of the salary system of public hospitals. Before the end of the year, all provincial public hospitals implement the annual salary system of the party committee secretary and dean. The competent department of human resources and social security, finance, medical security, and public hospitals formulates the performance evaluation and evaluation methods of the main person in charge of public hospitals, and shall implement funding guarantee policies at the same level. Guide the qualified tertiary hospitals to conduct independent review of senior professional titles. (The Provincial Health and Health Commission, the Provincial Department of Finance, the Provincial Department of Human Resources and Social Security, the Provincial Medical Security Bureau, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

6. Promote public hospitals to establish a modern hospital management system. Grasp the construction of provincial -level pilot hospitals at high -quality development of three public hospitals, and explore the models and paths of high -quality development of public hospitals at all levels. Realize the full coverage of the performance assessment of second- and third -level public hospitals, and carry out the performance assessment of maternal and child health care institutions. (The Provincial Health and Health Commission, the Provincial Department of Finance, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

7. Start a new round of clinical specialty and medical key discipline construction plans. Implementing the "Three -Five -Year Plan" key specialist of the "Three Three, Five -Senior Project", in 2022, the construction of 7 national, 60 provincial, and 100 municipal -level clinical key specialties, each county (city, district) was constructed at least 1 The county -level key specialty. Strengthen the construction of key provincial medical key disciplines, and launch a new round of 130 provincial -level medical key discipline construction projects. (Provincial Health and Health Commission, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

8. Promote the construction of smart hospitals. Internet hospitals have increased to 30. All third -level hospital electronic medical records have the level of electronic medical records reaching level 4 or higher, and the secondary hospital reaches level 3 or higher. All three -level hospitals have reached the level of level 4 or above the interconnection standardization maturity evaluation. (Provincial Health and Health Commission, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

9. Promote the reform of the disease prevention and control system. In accordance with the unified national deployment, the reform related to the reform of the disease prevention and control institution is stable and orderly. During the year, 50 county -level disease control institutions were promoted to implement the capacity improvement project of disease prevention and control institutions. Promote the construction of the Public Health Committee of the Village (Residential) Civil Committee. (The Provincial Health and Health Commission, the Provincial Party Committee Editor Office, the Provincial Civil Affairs Department, and other provincial departments are responsible for division of responsibilities.) 10. Deepen the purchase of centralized band -in with drug consumables. Follow up the results of the national procurement in a timely manner, continue to jointly carry out concentrated band procurement with Beijing -Tianjin and other places, and select the province's large amount of drugs and medical consumables with large amounts of use, high amounts, and sufficient competition in our province. Overseas procurement strives to exceed 350 universal names of the province's procurement drugs by the end of the year. Implement the policy of reserving medical insurance funds for centralized procurement of drug consumables. Before the end of the year, the country's preliminary organizational drugs and medical consumables will be allocated in place. (The Provincial Medical Security Bureau, the Provincial Department of Finance, the Provincial Human Resources and Social Security Department, the Provincial Health and Health Commission, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

11. Adjust the price of medical services. Call the medical service price out of the cost supervision and price hearing catalog before the end of the year. Guide the startup conditions, trigger standards, and constraints that are adjusted in accordance with the price adjustment of medical services, and complete the price adjustment assessment of the price of medical services by the end of September to adjust the price of medical services in an orderly manner to meet the startup conditions. Guide Tangshan City to do a good job of the reform of national medical services. (The Provincial Medical Security Bureau, the Provincial Development and Reform Commission, the Provincial Department of Finance, the Provincial Health and Health Commission, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

12. Promote the development of a multi -level medical security system. Improve the direct settlement method of cross -provincial medical treatment. At the end of the year, at least one fixed -point medical institution in each county (city, district) can provide direct settlement services for medical expenses including outpatient costs. Guide Chengde City to do a good job of piloting the long -term care insurance system. Support commercial health insurance products that are connected to the development of commercial insurance institutions to develop with basic medical insurance, and explore the promotion of medical insurance information platforms to share information with the commercial health insurance information platform in accordance with regulations. (Provincial Medical Security Bureau, Provincial Department of Finance, Hebei Banking Regulatory Bureau, etc. are responsible for division of responsibilities)

13. Continue to deepen the reform of medical insurance payment methods. Before the end of the year, all coordinated areas realized the actual payment of groups (DRG) or according to the disease diagnosis of disease diagnosis (DRG) or according to the type of disease score (DIP). The proportion of medical insurance funds that paid DRG/DIP paid accounted for 30%. Evaluate the pilot markets of five countries and improve the payment policy. Promote the work of paying the outpatient clinic. (The Provincial Medical Security Bureau, the Provincial Department of Finance, etc. are responsible for division of responsibilities)

14. Steady promote the construction of the drug supply guarantee system. Strengthen rare diseases. For drugs with unstable market supply, supply supply by improving and implementing centralized procurement policies and strengthening production support. Standardize the comprehensive evaluation of drugs for drugs. Promote the construction of drug use monitoring information networks, cover all secondary and above public medical institutions and 80%of the government -run community health service centers and township health centers by the end of the year. Category to promote the implementation of the only identification of medical equipment, and deepen the connection application of the unique logo in the fields of supervision, medical care, medical insurance and other fields. Strengthen the construction of small variety drugs (shortage medicines). (The Provincial Health and Health Commission, the Provincial Medical Security Bureau, the Provincial Drug Administration, the Provincial Department of Industry and Information Technology, etc. are responsible for division of responsibilities)

15. Strengthen the supply of "one old and one small" service. Support vocational colleges and universities to add health service industries such as "one old and one small". At the end of the year, more than 80%of the comprehensive hospitals, rehabilitation hospitals, nursing homes, and grass -roots medical and health institutions have been established to build a friendly medical institution for the elderly. Implement the service quality improvement actions of medical and nursing institutions, and actively create demonstration projects for medical care and nursing. Formulate the quality evaluation standards for childcare institutions, build a provincial -level pilot of 160 infant care services and promote it in the province. (Provincial Department of Education, the Provincial Department of Civil Affairs, the Provincial Health and Health Commission, the Provincial Administration of Traditional Chinese Medicine, etc. are responsible for division of responsibilities)

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