Policy interpretation on the guidance of establishing modern hospital management system

Release date: 2017-07-26

1. What is the background for the formulation of guidelines on the establishment of modern hospital management system (hereinafter referred to as the guideline)? What's the point?

Answer: according to the CPC central committee and state council on deepening the reform of medical health system decision deployment, in 2010, the city public hospital comprehensive reform in 17 cities start pilot, expanded to 200 cities in 2016, covering nearly two thirds of the ground level above cities in China. In 2012, the comprehensive reform of county-level public hospitals was launched in 311 counties (cities). In 2015, it was fully opened in 1977. In accordance with the government work report 2017, the comprehensive reform of urban public hospitals will be fully opened by the end of September, and all drugs will be eliminated. In the past seven years, the comprehensive reform of public hospitals has been developed, and all the countries have actively explored the establishment of modern hospital management system and accumulated many valuable experiences. Such as fujian, anhui, jiangsu and other places to establish the public hospital management committee, the centralized performance of the hospital's macroscopic management functions, played down the micro-management of the hospital, stimulated the operation vitality of the hospital. Shanghai shenkang hospital development center established a strict public hospital assessment method to perform the government's supervision of the hospital. Peking union hospital has established hospital constitution, improved internal management system, improved internal operation management, and improved hospital management level and operation efficiency. The huaxi hospital of sichuan university has strengthened the construction of the party organization at the grass-roots level, made clear the establishment of the party branch and the selection of the secretary, responsibilities, treatment and assessment standards, and built the party branch into a strong fighting fortress. These valuable experiences need to be carefully summarized and refined into policies and systems.

At the same time, the public hospital reform as the pinnacle of deepening the reform of medical health system, difficult, difficult, still exist in the deepening reform of ownership and management rights boundary is not clear, the government held and lack of supervision of public hospitals exists different degree, offside phenomenon, public hospitals, failed to effectively implement the autonomy and extensive management, etc. We need to introduce normative documents at the national level to guide the establishment of modern hospital management systems.

The modern hospital management system is the key institutional arrangement of the basic medical and health system "pillar girder", which is an important part of the basic medical and health system of Chinese characteristics. At present, we will deepen reform of the medical and health system is formed by the framework to the system construction, as a basic medical and health care system in our country the classification of diagnosis and treatment system, universal health care system, perfecting the top-level design of basic drug supply security system, the modern hospital management system and comprehensive supervision system construction is further deepened. Build system of modern hospital management, to deal with hospitals and government relations, and to realize separating, tube separated, fully release hospital vitality, better serve the needs of people's hospital, modernization of hospital management system and management ability, promote the health of China construction has the very vital significance.

What are the overall requirements of the guidelines?

Answer: the guiding ideology is to fully implement the party's 18 large and 18 sixth plenary session of 3, 4, 5, and the national health and health conference spirit, deeply carry out important speech spirit of general secretary xi series new concepts, new ideas and governing the new strategy, conscientiously implement the party central committee and the state council decisions and, as a whole to promote "five one" the overall layout and coordination to promote "comprehensive" four strategic layout, firmly set up and implement the innovation, the coordination, the development of the green, open, sharing ideas, adhere to the leadership of the party, insist on the right of health and health work policy, adhere to the health and the health development road with Chinese characteristics, continuously improve the quality of medical services, efforts to achieve an organic unity of social benefit and efficiency, fully arouse the enthusiasm of medical personnel, and carry out democratic management and scientific decision-making, strengthening public hospital leading leading role, perfect the pattern of diversity in do medical, we will accelerate reform of the medical service supply side structural, modernization of hospital management system and management ability, to promote the health of China construction to lay the solid foundation.

The basic principle is to adhere to the people's health as the center, adhere to the public welfare of public hospitals, insist on the separation of government affairs and management, and adhere to the classification guidance, and encourage exploration and innovation.

Main goal is to 2020, the basic formation maintenance public welfare, to mobilize enthusiasm, ensuring the sustainable public hospital operation mechanism and decision-making, execution, supervision and coordination, the governance mechanism of checks and balances, promote each other, promote the development of the social do medical health, promote hospital management standardization and refinement of all types and at all levels, scientific, basic establishment of responsibilities clear, scientific management, perfect management, efficient operation and effective supervision system of the modern hospital management.

Iii. What important reform tasks have been proposed by the guidelines?

A: the guideline proposes 20 key reform tasks in three aspects.

The first is to improve the hospital management system, with 13 reform tasks: making hospital articles, regulating the internal governance structure and rules of power operation, and improving the operation efficiency of hospitals. We should improve the decision-making mechanism of the hospital and ensure that the party organization's intentions are fully reflected in the decision-making and the function of the experts. We will improve the democratic management system, and workers will participate in democratic decision-making, democratic management and democratic supervision. We will improve the core management system of hospital medical quality, human resources, financial assets, performance appraisal and personnel training, scientific research, logistics and information, and improve the level of scientific management in hospitals. We will strengthen the construction of hospital culture and shape the integrity of the industry. We will comprehensively carry out the service of the convenience and benefit of the people and build a harmonious doctor-patient relationship.

Second, establish and improve the hospital management system, a total of four reform task: clear the government held functions of public hospitals, actively explore a variety of effective forms for realizing public hospital management office separately, perform the duty of a government as a whole, focus on policy direction of the tube, pipe, tube, pipe planning and evaluation. Clear the government regulatory functions of hospitals, set up a comprehensive regulatory system, strengthen the family planning administrative department of public health medical services regulatory functions, play to the readjustment of health behavior and to the medical service cost guidance and supervision. To carry out the public hospital internal personnel management, organization setup, middle-level cadres appointment, personnel recruitment and talent introduction, internal performance appraisal and compensation allocation, such as annual budget implementation management autonomy. We will strengthen social supervision and industry self-discipline to explore and establish a third-party evaluation mechanism.

Third, to strengthen the construction of the hospital party, a total of 3 reform tasks: to give full play to the central role of the party committee in public hospitals, to carry out the direction, the overall situation and the protection. We will comprehensively strengthen grass-roots party construction in public hospitals and give full play to the political core role of party branches. We should strengthen the construction of party organizations in social hospitals, and in the approval of the establishment of a social hospital, we should adhere to the planning of the party's construction, the establishment of the party's organizations and the work of the party.

What are the highlights of the guidelines?

A: the guideline is a major system innovation of public hospital reform, which has a strong pertinence and guidance. One is to clarify the government's list of functions and regulatory functions of public hospitals, and comb through the list of autonomy of hospital management. Second, it is the first time that various types of hospitals at all levels should make their articles of association. To in the articles of association at the hospital, establish and improve the internal management mechanism, management system, rules of procedure, procedures, such as regulating the internal governance structure and power operation rules, improving the efficiency of the hospital. Thirdly, the decision-making mechanism of hospital is clarified. The office of the President is a public hospital administrative and business decision-making body, which decides on the research matters. On the decision-making process, public hospital development planning, "triple a big" and other major issues, as well as the important problem related to medical personnel immediate interests, to be subject to consent by the hospital party organization discussed during the meeting, ensure party intended to get fully embody in decision making. Fourth, to emphasize the role of experts in the hospital. The hospital should set up a medical quality safety management, pharmaceutical management and other professional committees to provide technical advice and feasibility study on professional and technical decision-making matters. Fifth, emphasize strengthening hospital culture construction. Set up the correct concept of the hospital, wholeheartedly serve the people's health, build the medical staff of exquisite medical skill, ethics, medical ethics, and shape the spirit of the industry. The sixth is to set up a council at the hospital level for the diversification of assets, the implementation of managed hospitals and the medical consortium.

5. What are the requirements of the modern hospital management system for strengthening the party construction of public hospitals?

Answer: one is to put the party's leadership in public hospital governance structure, members of the party leadership should be in accordance with the articles of association in hospital management or through legal procedures into the council, the hospital management or board internal party members of the general party leadership should enter the hospital. Second, we should give full play to the central role of the party committee in public hospitals, and grasp the political, ideological and organizational leadership of the work in the hospital, and take the direction, the overall situation and the protection of the situation. We will fully implement the party's theory and line policy and ensure that the reform and development of the hospital is in the right direction. We will promote the reform and development of hospitals, medical services, medical ethics and other work, and strive to build a modern hospital where the patient is satisfied and the people are satisfied. The management of the cadre of cadres, the establishment of the team and the base of the grassroots, the discussion decides the establishment of the internal organization of the hospital and the selection and appointment of its responsible persons. Three is to strengthen public hospitals at the primary level, setting up reasonable hospital party construction organization, complete with strong power, the party construction to establish scientific and effective assessment of the party construction of evaluation system, further implement the party party responsibility main body, promote the complete coverage of party organizations and party work, establish and improve the hospital internal institutions party branch, selection with strong party branch secretary, give full play to the party's political role as the core, to build the party branch into a strong combat fort. Adhere to the party organization activities and business work organic integration, prevent "two skins".

What are the requirements for the social hospital?

A: the first is to strengthen the government's supervision over social hospitals. Sound of non-profit and for-profit social do hospital classification management system, strengthen the nonprofit community do hospital property right ownership, financial operations, capital surplus use regulation, such as to strengthen the control of profit-making social rate of return for hospital. Second, we will strengthen the construction of party organizations in the social development hospitals. We should strengthen the formation of party organizations in the social affairs office and approve the establishment of a social hospital. We should adhere to the planning of the party's construction, the organization of the party and the work of the party. We should combine the management of the local government with the management of the competent departments, establish and improve the management system of the party construction work in the society, and standardize the membership of the party organizations. Social do hospital party organization should be closely around the party constitution gives the basic task of the party organizations at the grass-roots level, combined with practical work, according to the request for the party's medical school, is to meet people's diversified medical and health care needs.

7. How to ensure full implementation of the guidelines?

Answer: "guidance" to strengthen the organization implement, summarize experience, strengthen the propaganda popularization etc, as well as organize and implement the work request, around to formulate implementation plan, clear goal task, a clear division of responsibility, improve the implementation of the supervisory system. The relevant departments of health and family planning at all levels should decentralize relevant authorities in accordance with the functional division of labor, adjust relevant policies and strengthen after-the-fact supervision. The administrative departments of health and family planning at all levels shall, together with the relevant departments, study and solve new situations and problems in the reform.

Related links: the general office of the state council on the establishment of modern hospital management system guidelines