The national health and family planning commission, human resources, social security, ministry of finance, state administration of traditional Chinese medicine

On strengthening the guidance of the performance evaluation of public medical and health institutions

The 2015-12-21 national health and population and family planning commission of the People's Republic of China

Countries who hair [2015] no. 94

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, human resources, social security department (bureau), financial department (bureau), the administration of traditional Chinese medicine, the xinjiang production and construction corps health bureau, the ministry of human resources and social security bureau, the bureau of finance:

To implement the party's 18 large and 18th session of 2, 3, 4, fifth plenary session of the spirit, the implementation of "the central committee of the communist party of China, the opinions of the state council on deepening the reform of medical health system, and the state council concerning the deepening medical and health system reform during the" twelfth five-year plan and implementation plan notice requirements, provide guidance to strengthen public health institution performance evaluation work, now the following opinions are put forward.

A, objectives and principles

(a) the main target. Performance evaluation mechanism, establish and improve the public medical institutions to guide the public medical institutions to perfect the performance evaluation of staff, standardize public medical and health institutions at various levels and of the performance evaluation work, to promote medical institutions to improve service quality, to carry out the hierarchical diagnosis, standardize services, in order to strengthen the management of standardization, specialization and refinement, maintain the public welfare, arouse enthusiasm, ensuring the sustainable, to the masses to provide a safe, effective, convenient and cheap medical and health services.

(2) the basic principles.

Adhere to the good guidance, maintenance of health. Insist on sharing development, focus on the public health, through to strengthen and improve the performance evaluation and promote the implementation of public medical and health institution of public welfare nature, improve the health service ability and quality, promote everyone will have access to basic medical and health services.

Stick to transform function, and decentralization. Innovation of government management way, pay attention to the pipes, encourage social participating, give full play to their role as the third party evaluation. Evaluation results information transparency, to ensure credibility evaluation.

Adhere to the comprehensive system, classification, grading. To establish a comprehensive performance evaluation system, clear evaluation criteria, evaluation procedure, strengthen the information technology support. According to the management level and institutional types classified implementation of performance evaluation of medical institutions, to head, worker, respectively, the implementation of staff performance evaluation.

Insist on the incentive constraints, pragmatic. Medical and health institutions and personnel performance evaluation results with government investment, the management control and personnel career development, etc, adopt comprehensive measures, -- -- the difference, effectively promote the performance of continuous improvement, in order to establish modern hospital management system and accord with the characteristics of the medical profession the personnel salary system.

Second, the performance evaluation of the subject

The family planning administrative department of public health at all levels, the administrative department of the organization of traditional Chinese medicine or in conjunction with the relevant departments of the organization for public medical and health institutions to carry out the performance evaluation.

According to the cadre personnel management authority, the family planning administrative department of public health, management of traditional Chinese medicine departments at various levels or departments to organize the implementation of performance evaluation, head of the public medical and health institutions.

To carry out the reform of public hospitals at the county level comprehensive and urban public hospital comprehensive reform pilot areas can be made of public hospital management committee and other government agencies and dean conclude a contract for the performance management, implementation of performance evaluation according to contract agreement.

Public medical and health institution shall be responsible for the organization to the worker's performance evaluation.

Encourage all take concrete measures to give full play to the professional institutions, industry association, and other third parties in the role of the performance evaluation, especially satisfaction evaluation preferred to entrust a third party. Pay attention to absorb in the process of performance evaluation, patients on behalf of the public.

Three, the performance evaluation index system

Performance evaluation indicators should embody the implementation of public medical and health institution of public property, protect public health requirements, reflect the service and management process, pay attention to the service as a result, target management and total quality management. Specific index selection shall be focused, objective and stable, easy access to sensitive, qualitative, quantitative, scientific combination of dynamic adjustment mechanism.

Agency performance evaluation should include social benefit, service, integrated management, sustainable development, etc. Performance evaluation should also include the employee satisfaction, head of content. Personnel performance evaluation shall be used as the important content of assessment, in peacetime assessment, annual appraisal and the period of examination, to highlight the post work, service quality, behavior standards, technical difficulty, risk degree and the object of service satisfaction, etc.

(a) public hospital performance evaluation indicators. Has the following four aspects: (1) social benefit indexes. Focus on the public satisfaction evaluation, government mandatory plan implementation, cost control, adapted to basic health care, disease to reasonable structure, and so on and so forth. Among them, the government directed the implementation of tasks including take on public health, the health emergency and emergency medical treatment, agriculture supported edge, the counterpart support, care, medical personnel training, such as national defense mobilization, huimin health commonweal mission and social responsibility. (2) medical services index. Focus on evaluation of medical service quality and safety, medical services, convenient and suitable, and so on and so forth, so as to promote reasonable, standardization of diagnosis and treatment of medical institutions. (3) comprehensive management index. Focus on evaluating the efficiency of human, beds, efficiency, cost effectiveness, efficiency of fixed assets, budget management, financial risk control, medical income structure, the expenditure structure, saving energy and reducing consumption as well as the construction of party construction and the enhancement of standardization management. (4) sustainable development indicators. Focus on evaluation of talent team construction, the development of clinical, teaching and scientific research, and so on and so forth.

(2) the performance evaluation index of medical and health institutions at the grassroots level. Has the following four aspects: (1) social benefit indexes. Focus on the public satisfaction evaluation, health literacy, improve, and so on and so forth. (2) service indicators. Focus on evaluation of basic public health services and medical services. Among them, the basic public health services including national basic public health service project, etc., quality and quantity of the medical services, including quantity and efficiency of medical service, medical quality and safety, medical expense control and traditional Chinese medicine, rehabilitation, family planning technical services to carry out the situation, in order to pass the evaluation to promote reasonable, standardization of diagnosis and treatment of medical institutions. (3) comprehensive management index. Focus on evaluation of financial asset management, drug management, service mode, the information management, and party construction and the enhancement of construction, and so on and so forth. (4) sustainable development indicators. Focus on evaluation of talent team construction, and so on and so forth. The above performance evaluation mainly aimed at rural hospitals and community health service centers, village clinics and community health service station performance evaluation can be reference to the actual implementation of the related content.

(3) the performance evaluation index of major public health agencies. Has the following four aspects: (1) social benefit indexes. Focus on evaluation of employee satisfaction, the government mandatory task, such as basic guidance on social responsibility. (2) service indicators. Focus on evaluation of disease prevention and control, health education, public health emergency, health hazard monitoring and control on quality and quantity of the public health service, and completion of major public health project, etc. Has the functions of medical professional public health agencies should also according to its function orientation and work characteristics, set up medical service evaluation index. (3) comprehensive management index. Focus on evaluation of party construction, equipment management, information management, laboratory management, and so on and so forth. (4) sustainable development indicators. Focus on evaluation of talent team construction, scientific research ability, and so on and so forth. This advice has been clear about the institution of disease prevention and control of the performance evaluation index system (trial).

(4) performance evaluation index of family planning of health supervision and law enforcement agencies. Has the following four aspects: (1) social benefit indexes. Focus on the public satisfaction evaluation, the franco-prussian propaganda, the government mandatory task, and so on and so forth. (2) service indicators. Focus on evaluation of administrative license, regular supervision and inspection, to investigate and punish the illegal ACTS in accordance with the law, rectification and sampling observation, complain inform against, and so on and so forth. (3) comprehensive management index. Focus on evaluation of internal institutions, rules and regulations and the enhancement management, the party construction, government affairs public, information construction, and so on and so forth. (4) sustainable development indicators. Focus on evaluation of talent team construction, and so on and so forth.

Four, the performance evaluation standard

Performance evaluation work on the direction and the basis of standardized management, performance evaluation standard is a measure of the performance evaluation index, reflects performance benchmarks and scale, its standard value can be the main reference hospital evaluation standard, the key specialty evaluation standard, medical service, medical quality and safety standard, clinical diagnosis and treatment guidelines, basic public health services, major disease prevention and control work, the major public health service project implementation plan and medical emergency management standard of normative documents and health standard.

Performance evaluation standard shall conform to the characteristics of the performance evaluation index, follow the rules of medical and health work, full account of the differences of regional social and economic development, should reflect the crosswise comparison between the medical and health institutions, and to reflect the longitudinal comparison of the same institution itself changes.

Five, the performance evaluation process

(a) agency performance evaluation program. (1) the performance evaluation. Led by the family planning administrative department of public health, management of traditional Chinese medicine department set up leading group for performance evaluation of public medical and health institution, committee work organization, implementing agencies determine evaluation, setting performance goals, to listen to your evaluation objects, to strengthen the training of assessment personnel and assessment object, to master the basic content of the performance evaluation, ways and methods. (2) the self-reported medical and health institutions. Medical institutions in accordance with the requirements of the performance evaluation to carry out the check list, to find problems in a timely manner, to improve form inspection report, and submit to the performance evaluation implementing agencies. (3) the performance evaluation of the implementation. Is given priority to with the performance evaluation of applying information technology to collect related data, the integrated use of on-site inspections, special interview and questionnaire survey, according to the comprehensive analysis of evaluation index system and standard, form the evaluation conclusion. (4) performance evaluation feedback and improvement. To feedback of evaluation results of medical and health institutions, for the problems existing in the improvement Suggestions and opinions, medical and health institutions shall carry out the corresponding improvement, improvement shall be used as an important part of the performance evaluation of the next round.

For medical and health institutions in principle according to the annual performance evaluation work, need to be adjusted according to the evaluation purpose.

(2) the staff performance appraisal program. According to the cadre personnel management authority, the public medical institutions, head of the implementation of the annual and term target responsibility appraisal.

Employee performance evaluation procedure and evaluation cycle determined by public medical and health institutions themselves, should be on the basis of summarizing the past experience, a variety of ways to carry on the comprehensive evaluation, and after approved by the staff and workers' congress to discuss.

Six, the performance evaluation result application and information disclosure

(a) the performance evaluation result application and information disclosure. Medical institutions according to the result of the performance evaluation to improve seriously, improve performance and promote the healthy and sustainable development. The family planning administrative department of public health, management departments, in conjunction with the relevant departments according to the results of the performance evaluation of Chinese medicine to rewards and punishments, medical and health institutions and financial aid efforts, medical insurance fund pays, overall level of compensation, medical and health institutions rank evaluation, etc. The performance evaluation results to report to the government at the same level, provide the basis for government decision-making, and establish the performance accountability mechanism, the illegal and disciplinary problems found in the performance evaluation by the relevant aspects according to the procedures for serious investigation. Medical and health institution performance evaluation results as the important basis the performance evaluation by the head of the medical and health institutions.

Around will encourage the performance evaluation results, applications, such as included in the scope of information disclosure, according to the application to the public in the proper manner.

(2) the personnel performance evaluation result application and information disclosure. To staff performance evaluation as the important content of forming the assessment results, and medical and health institutions and worker pay, post, head of the employment, personal career development and management incentive constraint link, and as an important reference of position appointment. Adhere to work more, superior blue-chip reward, focus on key positions, the backbone of business and income distribution has made outstanding contributions to tilt, reasonable income gap, arouse the enthusiasm of the medical staff. Set revenue target is strictly forbidden to departments and medical personnel, medical personnel shall be individual compensation and the hospital drugs, supplies, large medical examination and other business income.

Personnel assessment results recorded in the personal files to appropriate way open in this unit.

Seven, organization guarantee

(a) strengthen to organize the implementation. Governments at all levels, more attention must be paid to the relevant departments to strengthen the performance evaluation of public medical and health institution into the overall deployment deepening health reform, and as a new, decentralization, the important measures to strengthen supervision, and about the central institution of the cadre and personnel management, performance evaluation policy of cohesion, carefully organize their implementation. Around the family planning administrative department of public health, management of traditional Chinese medicine department in conjunction with relevant departments combined with local actual, as a whole to promote the region's public medical and health institution performance evaluation. National health and family planning commission, the state bureau of traditional Chinese medicine in conjunction with the human resources and social security ministry, the ministry of finance and other departments to strengthen the supervision of the implementation of the performance evaluation work around and guidance, establish evaluation expert database for medical and health institutions, strengthen personnel training, improve public hospitals, grassroots medical and health institutions, and family planning of health supervision and law enforcement of institution of disease prevention and control institutions performance evaluation index system, establish and improve the medical institutions of traditional Chinese medicine and other institutions of public health agencies and other kinds of performance evaluation index system, and the national all kinds of public medical institutions to implement the performance evaluation, respectively. Regional departments for the performance evaluation, personnel and facilities to provide the necessary funds.

(2) encourage local exploration. Can be clear in this opinion around the index system on the basis of appropriate adjustments specific indicators, establish and improve the region different categories, different function of index system for performance evaluation of public medical and health institution, refinement, quantitative indicators weight, criteria, score and other content. Highlighting the public welfare nature of public medical institutions, to increase social benefits, satisfaction and service aspects of index weight. Combination of medicine and health care reform development the new situation and requirements, outstanding for clinical pathway, single disease quality control indexes of evaluation. Everywhere want to combine with the advancing of reform of public hospitals, the research to avoid any of the departments of industry and government agencies for public hospital repeat evaluation measures. In line with the general requirements to speed up the transformation government function, positive innovation evaluation way, give play to the role of third-party assessment. Encouraging local exploration evaluation objects, randomly selected by random evaluation personnel, improve evaluation objective impartiality. Can be taken to establish multi-sectoral joint evaluation organization or communication interoperability performance evaluation results, improve the quality and efficiency evaluation.

(3) strengthen the technical support. Everywhere are encouraged to establish perfect information platform of integrated management of public medical and health institution, provide the basis of performance evaluation of information, strengthen the big data processing, statistical analysis technology, the Internet technology in the application of performance evaluation and other modern information technology, dynamic and accurate evaluation for its implementation. Encourage exploration will be around the performance evaluation index information and process each link of management, business activities, establish contact, to ensure the accessibility of information, authenticity and real-time performance. Establish and improve the performance evaluation analysis of information system, improve the working efficiency of the performance evaluation. Strengthening the network of the performance evaluation work and team construction, implementing performance evaluation by special forces, promoting performance evaluation of specialization and standardization step by step.

(4) strengthen the propaganda and education. Completes the policy interpretation and public opinion guidance, actively response to social concern, touting around good experience and practices, and create a good environment for public opinion. Actively carry out training policies, guide the medical institutions and medical workers fully understand the importance of the performance evaluation work, improve the internal performance evaluation mechanism, detailed the ideological education, to mobilize the full participation, to translate performance management responsibility into specific jobs, build for gap, the atmosphere of continuous improvement, the pursuit of high performance goals.

Attachment: 1. The public hospital performance evaluation index system (trial). XLSX

2. The performance evaluation system for the basic medical and health institutions (trial). XLSX

3. The performance evaluation index system of institution of disease prevention and control (trial). XLSX

4. Health, family planning performance evaluation system for the supervision and law enforcement agencies (trial). XLSX

The national health and family planning commission of human resources social security

The ministry of finance of the state administration of traditional Chinese medicine

On December 10th, 2015