The medical network on May 12 of the medical association buy the real quick! And its content and its implications are likely to be beyond your imagination. 

 

On April 26, the general office of the state council on promoting the development of the construction of medical association and guidance ", put forward the "united inside couplet of exploring to establish the medical drug bidding procurement, management platform, the formation of couplet of medical drugs prescription flow, in sharing and distribution mechanism". 

 

Who recently, Inner Mongolia autonomous region development planning commission is issued on the conduct of the pilot medical association medicine consumable purchase notice (hereinafter referred to as the "notice"), decided to in autonomous region within the scope of the pilot to medical couplet belt quantity, with the budget for the unit purchasing drug supplies. The aim is to both promote the establishment of medicobodies and reduce the price of drug consumables. 

 

Inner Mongolia medicine, material purchasing is big change, and this is the domestic first introduced medical conjoined with quantity procurement mode, is worth to pay close attention to its practice, also with reference to the past or by other places. 

 

Pilot projects will be in 2017 

 

"Notice" requires that in 2017, after the establishment of a new medical association in various tertiary public hospitals in Inner Mongolia, the joint procurement of medicines and consumables should be carried out as soon as possible. 

 

The government will also set up a plan and a clear mission, and strive to fully open the medical association belt and carry out budget procurement by the end of 2017. 

 

Three types of consumables were included in the first batch of at least 8 varieties 

 

"Notice" suggests that all the consumables traded on the purchasing platform in Inner Mongolia autonomous region can be included in the belt and the budgeted range. 

 

On the usage of different medical institutions within the couplet of medical consumable materials, after combing with purchasing large amount and a lot of usage, high contact ratio of the material compiled "procurement directory". Among them, there were no fewer than eight varieties of the first pilot purchase. 

 

Quantity purchase, price sharing, all point to lower price 

 

According to the "notice", couplet of Inner Mongolia will pilot medical quantity procurement, centralized bid procurement is actually in the autonomous region based on winning bids with the amount of negotiation, discussion out a price lower than the provincial level the final sale price. This is not only for the purchase of the procurement platform for the procurement platform of the pharmaceutical equipment in the autonomous region, but also for the self-procurement of the eu. 

 

Reform pilot cities can organize jurisdiction of couplet of the medical building on their own platform to purchasing bargaining, but purchasing data to unicom, exchange with autonomous regional purchasing system, strike price is not higher than autonomous region also should be priced in the tender price. 

 

In addition, the notice also proposes to establish a medical joint purchasing and sharing mechanism. The first is that the joint division of medical services is jointly procured, and the specialty alliance is mainly specialized in drugs and consumables, and other medical associations are responsible for different products. The second is the sharing of procurement results for all medical medias. This sharing mechanism makes the bargaining process transparent. Couplet of different medical and medical institutions, who in the provincial price reduction on more, the price less, be clear at a glance, to play spreads between different medical institutions, also is not so easy. 

 

The specialist consumables, or the domestic one river 

 

The "notice" also suggests that the specialist alliance will choose domestic consumables in the purchase of the specialized materials. 

 

As one of the four forms of couplet of medical college league is more popular at present, such as Beijing launched the first one-time cardiovascular internal medicine, respiratory medicine, nerve internal medicine, gynecology, orthopedic, endocrine, ophthalmology, pediatric specialist eight. If the specialized USES of the specialized colleges and colleges are given priority to purchase domestic, you can imagine that the key specialized departments of medical institutions are expected to be made in the same area. 

 

The medic must be two-fare to explore exclusive distribution rights 

 

The Inner Mongolia autonomous region health development planning commission in the "notice" requirements, the couplet of medical drugs with quantity, with procurement budget announcement will be in the "two votes" as a prerequisite, in the drug purchase contract also need to clear the requirements of the "two votes". 

 

And, to "explore ways to establish unified distribution by a distribution enterprise internal medical couplet body all medical institutions with quantity, with a budget to purchase medicines. Can also be used by the pharmaceutical production enterprise distribution directly." 

 

Couplet of medical procurement and performs binding together of two votes, that does not calculate very accidental, but to explore ways to establish a couplet of medical leaving within a distribution company, the distributors, the impact will be greatly. Exclusive distribution right! Not only for one medical institution, but many, many homes. 

 

For consumable materials manufacturers, the good news is that the content in the "notice" and other content, only presented applicable to drugs, not points of consumables. Though the two bills and the exclusive distribution should be pushed, at least for the time being. 

 

The principle of payment for payment shall not exceed 30 days 

 

Can have a good news, "notice" is put forward, in medical institutions and medical couplet body bargaining enterprise procurement contract, need to clear the payment time and liability for breach of contract, etc. 

 

The time limit for payment for payment shall not exceed 30 days in principle. To further reduce the price, encourage the medical association to advance 50% of the payment within 5 working days of the contract. It is also encouraging the medical community to explore the establishment of a performance guarantee system. 

 

Take the price for 30 days for the settlement, and the value of the transaction is not worth it? 

 

Attachment: the health and family planning commission of Inner Mongolia autonomous region is notified of the trial of the purchase of pharmaceutical consumables 

 

The internal medicine administration (2017) 81 

 

The municipal health and family planning commission, directly affiliated to various medical institutions, autonomous regional drug centers, and affiliated hospitals of Inner Mongolia medical university: 

 

For the implementation of the 2017 national health work picturephone meeting spirit, according to the general office of the state council on further reform and improve the pharmaceutical production circulation use policy several opinions (countries do hair [2017] no. 13), the national health and family planning commission work guidance on pilot implementation of construction of medical association "(the health medical hair [2016] no. 75) and the deployment of family planning work of health conference in 2017, according to the general office of the state council on promoting the development of the construction of medical association and guidance" (countries do hair [2017] no. 32) "explore establishing unified the couplet of medical drug bidding procurement, management platform, the formation of couplet of medical prescription in flowing, sharing and drug delivery system" requirements, to promote and guarantee the construction and development of medical association, effective guarantee medical consumable supply, and reduce the burden of drug supplies cost, decided to development in the autonomous region within the scope of the pilot to medical association (including healthcare, medical community and junior league, hereinafter referred to as the medical couplet body) with quantity, with the budget for the unit purchasing drug supplies work. The information about the job will be as follows. 

 

First, to fully understand the significance of medical association procurement of pharmaceutical consumables 

 

Purchasing drugs and consumables to carry out medical couplet body work is helpful to promote responsibility, the interests of the community, management, community building, community is an important content of medical couplet of construction and development, is a tertiary public hospital led the hospital public welfare responsibilities or specific actions, is to strengthen the level 2 above hospitals an effective means of linking to the grassroots drug use, is the implementation of the hook, quantity and price for unity, strengthen medical institutions participation in drug supplies procurement is one of the important measures. Local medical institutions to raise awareness, ideas, fully understand the realistic meaning of couplet of medical drugs consumable purchase as actively, close cooperation, to ensure that the work achieve substantial results. 

 

Purchasing principals and procurement principles 

 

(1) purchase principal. The medical medias, which are managed by the municipal administration of health and family planning, are the main body of drug consumption. The hospital is led by the medical association, and the medical institutions in the medical community are organized to carry out drug consumption and budget procurement. In the case of the more general medical association, it is possible to select a medic to carry out the trial, and then, after the experience, it will be opened in batches or gradually. It can also be led by a medic, and multiple medical medias are jointly procured. 

 

In accordance with the requirements of the state council this year, the tertiary public hospitals should participate fully in the construction of the medic and play a leading role. In 2017, after the establishment of new medias in various tertiary public hospitals at all levels, the joint procurement of medicines and consumables should be carried out as soon as possible. 

 

(2) purchasing principles. We will adhere to the principle of "a platform for autonomous regions, adopt a unified, and the price of a price", and set up a new mechanism for purchasing medical supplies for medical use. Platforms in the autonomous region YaoXie centralized bid procurement procurement, material procurement system for autonomous region drugs published enterprise, medicine consumable material such as qualification, in principle, it is no longer require companies to provide; The agreed price shall be no higher than the historical purchase price, and the lower price drugs shall not exceed the standard negotiation price of rmb3 per day and the 5 yuan for the Chinese medicine. Each of the drug consumables is identified by each bidding group as a finalist. To conduct their own purchasing in union in the purchasing information should be with autonomous region drug consumables purchasing system for data exchange, negotiate price should not be higher than that of the autonomous region centralized bidding price in the price. Medical couplet body when conducting drug supplies bargaining, should organize purchasing plan and budget, creating founded to hospital management, clinical doctors and medical consumable negotiation team composed of experts in negotiation. 

 

3, purchasing catalogs and procedures 

 

(1) purchasing catalogues. 

 

1. In the autonomous region drug purchasing platform of all drug deals on (except for national negotiations, fixed-point production of drugs) and medical consumables are included in the belt quantity, purchasing budget range. Each couplet of couplet of medical to comb the medical medical and health institutions within the usage of drugs and medical consumables and clinical demand oriented, to purchase large amount and a lot of usage, high contact ratio of drug supplies reasonable establishment "procurement directory". The first batch of selected drugs and materials were selected in no less than eight different varieties, and then gradually expanded the scope of the trial. 

 

2 d couplet medicines procurement pilot work to meet the demand of hierarchical diagnosis patient medication, can focus on procurement of high blood pressure, diabetes, copd, coronary heart disease and other chronic diseases, give preference to national essential drugs and the catalogue of national basic medical insurance drugs (2017 edition), a class of drugs, in group and drug infusion or does not involve bidding for breakthrough. The professional association can focus on the specialty of the specialty, the specialty, the choice of domestic consumables. 

 

3. The autonomous region of trading in drug procurement system state talks, fixed-point production of drugs, drug prices directly by the system for purchasing, couplet of medical organization no longer bargaining. Countries to carry out special control of narcotic drugs, the first second kind psychotropic drugs, free drug prevention and control of infectious diseases and parasitic diseases, national immunization programmes vaccine and 2 kinds of vaccines, drugs for family planning, Mongolian medicine, Mongolian hospital preparations, such as Mongolian Chinese medicine yinpian still according to the regulations of the state and the autonomous region current purchases. 

 

(2) purchase quantity and budget. The purchasing quantity of each drug consumed by the medical association shall be determined in proportion to the total amount of actual purchase according to the total amount of the annual use of the medical and health institutions. The procurement budget may be formulated with reference to the actual transaction price of the previous year or the transaction price in the lowest seven provinces and combined with the cost of the drug. 

 

(3) purchasing procedures. Medical couplet medicines consumables with quantity, purchasing budget announcement can be published to the autonomous region by union city medicine procurement network, led by the hospital online negotiation with production enterprises, also can be packaged and distribution business negotiation. Public hospital comprehensive reform pilot cities can also be the couplet of the medical building on their own in the local organization area of medicine bargaining procurement platform for bargaining results within 3 days will have been determined in the autonomous region medicine mining platform, and the data and autonomous region unicom drug procurement system. All medical institutions in the medic are not allowed to negotiate prices again. 

 

The relevant requirements for the procurement of drugs consumed by the medical association 

 

(1) to carry out drug purchase "two fare". The "two-ticket" should be used as a necessary condition for each medical association to release the quantity of medicine and the announcement of the budget purchase. At the same time, we need to clarify the requirements of "two-ticket" in the procurement contract. Explore a drug that is carried out by a distribution enterprise to distribute all the medical institutions within the medic and carry the budget. It can also be delivered directly by the Chinese and Chinese pharmaceutical manufacturers. The medical institutions within the medical association shall, in accordance with the "two-ticket system", require the inspection of the invoice of the production enterprises and the distribution enterprises in accordance with the "two-ticket system" in the acceptance of the medicines. Couplet body within the grassroots medical and health institutions, such as in remote and inaccessible areas can be based on "two votes" to open a pharmaceutical sales invoice, in order to ensure grass-roots active drug supply. 

 

(2) contract and settlement payment. The medical institutions in the medic should execute the negotiation result and sign the purchase contract with the negotiating company. The contract needs to specify the variety, dosage form, specification, quantity, price, time and place of delivery, payment time and breach of contract. In principle, the time limit for drug payment shall not exceed 30 days from all medical institutions in the medic. In order to further reduce drug consumables prices to encourage medical conjoined in the purchase and sale contracts with the enterprise within five working days after 50% of the total payment in advance, to use drug supplies all pay the rest. In order to guarantee the supply of drug consumables, the medical association can also explore the establishment of a performance guarantee system. 

 

(3) to establish a mechanism for purchasing and sharing drug consumption. In order to coordinate the use of pharmaceutical consumables and the budget procurement, all the Allies should carry out the cooperative procurement of various medical medias. Can be specialized in the specialized subject medicine and consumptive material, the other medical association, the medical common body is responsible for different kinds of chronic diseases, common disease medicine and so on. The results of the purchase of pharmaceutical consumables in the various combinations shall be Shared. We will encourage the expansion of Shared areas to the autonomous region. For drugs that cannot be purchased for the time being, the medical association can entrust the medical institution to negotiate the purchase, and the medical institutions of the medical association share the result of the negotiation price. 

 

Improve the function of purchasing platform. Autonomous region medicine mining center is responsible for according to each couplet of medical drugs consumables with quantity, with the budget purchasing demand, gradually improve autonomous region medicine mining platform of couplet of medical bargaining purchasing function, provide the production and operation enterprises, drug supplies related qualification, price information, to do a good job of technical support; The cities may also explore and establish a platform for purchasing and management of pharmaceutical consumables in this area, and to connect with the regional drug production platform. 

 

Organize the implementation and supervision of the management 

 

To establish the internal meeting system and coordinate the mechanism of the internal meeting, the medical department should establish the drug consumption belt and the budget purchasing team. Responsible for the summary with the amount of medical institutions, with budget purchasing list, draw up purchasing plan, purchasing drug consumables catalogue, put forward a finalist rules, after the examination and approval of the consortium, organize the implementation. Led the hospital each couplet of medical tertiary public hospital principal, in particular, to personally responsible for medical couplet of purchasing drug consumables, to implement the function orientation of the third class hospitals, to complete the tasks assigned by the government. 

 

To strengthen the guidance of the pharmaceutical belt and the budgetary purchasing work of the medical association. To monitor the purchase of medical supplies on the Internet. 

 

The municipal health and family planning commission should strengthen the leadership of the organization and make appropriate use of the local conditions, and carry out the work of the medical department of the medical community in various forms. Are formulated based on the actual area of couplet of medical drugs with quantity, work with procurement budget plan, clear work objectives and tasks, to sum up experience in time and report progress, strive to fully open to the end of the year. 

 

The cities and flags counties should strengthen supervision and control over the consumption of medical supplies and the work of budget procurement. For medical institutions to offline purchasing behavior, violation of the enterprise dishonest behavior, such as apparent plot will give informed criticism and rectification within a time limit, lower grade, and according to the autonomous region YaoXie centralized purchasing record management method "in bad record. 

 

Please report to the health and family planning commission of the regional health department in time to report to the regional health and family planning commission.