Medical network on May 22, reporter learned yesterday from the city planning commission, to cope with health care reform, strengthen the supervision of public hospital economic management and economic, this month since 119 in downtown two levels of public hospitals will begin to economic management performance evaluation, large medical equipment services, services and other fixed assets into the scope of hospital evaluation for the first time. Once a month, for examination and assessment of the results will affect the hospital financial subsidies, worker total wages and dean to appoint or remove, rewards and punishments, etc., will also be supervision and provide clues for medical behavior. 

 

Starting in May, the city was the first to launch a performance review of the public hospital's economic management in various provinces, based on the comprehensive performance appraisal of public hospitals. This is to assess the hospital's economic management ability, process and results through qualitative and quantitative indicators. According to the evaluation index system (2017 edition) of the Beijing public hospital economic management performance evaluation index, the hospital will be evaluated in four categories of 18 quantitative indicators. Scope of assessment for the Beijing area, two levels of all kinds of independent accounting of the public hospitals, including comprehensive hospitals, Chinese medicine, such as hospitals, nursing homes, not including basic medical and health institutions, a total of 119 hospitals. 

 

North green news reporter noticed, such as "cost of millions of human services", "millions of fixed assets services", "millions of special equipment services" for the first time in the hospital performance appraisal system, reflect the human cost, fixed assets, every one million yuan services provided by the professional equipment, these are the main public hospital public resources, assessment of hospital in the resources use efficiency. Services are ranked high to low, ranking high in the rankings. But that doesn't mean the more gadgets you use, the better. 

 

In addition to the above three indicators, and included in the evaluation of this time all expenses, discharged patients cases all expenses, etc., in order to control the patient's treatment costs, these indicators are the lower score is higher. "If the same two hospitals, at the same level in the same difficulty of disease diagnosis and treatment, there is no special circumstances, have the cost of the larger gap, so it is very likely not standard medical behavior." "Zhong dongbo, deputy director of the city's health and family planning commission, told the newspaper. 

 

After the reform, the compensation mechanism of public hospitals changed greatly, and also brought about changes in medical behavior. "Are there any irregularities in the process? These changes can be reflected in the performance of the hospital's economic management." Zhong Dongbo said, "for example, after the cancellation of drug addition, whether there will be a hospital alternative to increase the use of consumables, to increase the economic income, we set the indicators can measure the impact of these actions." 

 

In the 2017 edition of the index, the rate of change in the cost of materials for each discharged patient is one. This indicator can reflect the change of the cost of charging material for each discharged patient, and guide the hospital to control the cost of materials and reduce the burden of the patient. If the proportion of cost of consumables increases in the cost of the subdivision, the hospital should be deducted. According to zhong dongbo, the results of the performance review of economic management will lead to further verification of medical and administrative departments.