Medical net May 22, the reform of medicine of Beijing medical separation has been launched more than one month, what is the operation of the hospitals? Launched recently, the Beijing public hospital economic management performance evaluation work, hospital report all kinds of financial data, to reform after the change of hospital operation and provides the basis of the evaluation. According to the introduction, this is also China's first performance appraisal of public hospital economic management in the provincial level. 

 

All 119 public hospitals participated in the review 

 

Recently, the Beijing municipal planning commission, the city finance bureau to start public hospital economic management performance evaluation work in Beijing this year, the Beijing municipal, district 119 of all kinds of independent accounting in public hospitals will participate in the assessment, including general hospital, hospital, hospitals, nursing homes, etc. 

 

The balance of payments, the ratio of assets, the number of beds and the cost of the emergency room are all indicators of the evaluation. These financial data can be used to analyze the running status of hospital economic reflect the reform of hospital running and the change of health behavior, the relevant departments according to the data provide clues to the hospital medical behavior, strengthen supervision, improve economic policy to promote public hospitals comply with the health requirements. 

 

According to the regulation, the index system of appraisal is divided into qualitative examination and quantitative examination. Qualitative assessment, according to the annual assessment of the main hospital economic management process, such as budget management, cost control, quantitative assessment and reflect the status of hospital economic operation results, monthly monitoring and assessment on a yearly basis. 

 

Zhong Dongbo introduction, deputy chief of Beijing health development planning commission for examination and assessment of indicators is not fixed, such as found in the index set for examination and assessment of unscientific, relevant departments will conduct dynamic adjustment. The hkma and the district health and family planning commission may also be able to refine and increase the evaluation index, but not to reduce or reduce the requirements for examination and evaluation. 

 

The results were linked to the hospital budget 

 

It is understood that the city hospital authority and the regional health planning commission should incorporate the hospital economic management performance evaluation results overall comprehensive performance evaluation system for public hospitals, and fiscal subsidies, worker total wages and salaries of dean, appointment, rewards and punishments, etc. 

 

At the same time, in the year will belong to public hospital performance evaluation results of the preceding year and reformed to the financial sector, at the same level as an important reference to arrange next year hospital budget. 

 

In order to solve the problem, we will work with the finance department of the same level to study and formulate Suggestions and measures to improve the capacity of economic management in the hospital. 

 

Noil spot 

 

Major violations will be "voted down" 

 

Hospital once appear, the problem of serious breach of discipline of finance and economics, such as a "slush fund", major economic crimes, major assets loss and other violations of the administrative laws and regulations of major events, will be "one ticket veto", qualitative assessment results to zero. At the same time, the project will be integrated into the hospital's comprehensive performance review and will be held accountable to the dean. 

 

The cost of emergency care will be deducted 

 

In quantitative evaluation, the patients expenses account for a quarter (25 points), including this time all fees, discharged patients cases all fees and expenses for medicine, changes of the discharged patients consumables expenses, etc. This means that changes in the cost of hospital visits can directly affect the performance of a hospital. 

 

If the patient has an emergency room rate of five, the hospital with lower emergency care costs will be awarded points, and the higher fees will be deducted. At the same time, hospital emergency patients were given a 5-point increase in the number of patients with zero or negative increases in hospital emergency care, and the increase would be deducted. 

 

The cost of evaluating labor avoids raising idle people 

 

Appraisal system the first human cost one million yuan services in one million yuan, one million yuan in fixed assets services, special equipment services in three indicators, to measure the hospital three types of cost efficiency. Among them, the human cost one million yuan services in a total of eight points, from high to low rank, 20% before 8 points, 1 points ranking 20% after a 10% increase, more than 80% of the country's ranking was 0. 

 

Zhong dongbo analysis, which will provide clues on whether the hospital pay system is reasonable. Between similar with services in hospital at the same level, if the index is higher than average, show that the hospital human resources conversion efficiency of high or low salaries, medical staff work efficiency is too low or conversely excessive pay. The measures will help to streamline the administrative and logistics departments of public hospitals and improve the salaries of medical staff. 

 

noil 

 

Zhong dongbo, deputy director of the Beijing health and family planning commission, 

 

The evaluation of the hospital's economic performance benefits the patient 

 

The Beijing news: public hospitals themselves have a comprehensive performance review. Why do they need to add new economic management performance reviews? 

 

Zhong dongbo: two reasons. In the comprehensive performance evaluation system, the content of the indicators and for economic management that a relatively thin, single, cannot reach the overall measure of hospital economic management level, degree of efforts and results. 

 

Second, hospital management can be divided into three large, the subject of medical quality and safety technology management, the subject of patient satisfaction services, with efficient use of resources as the theme of economic management, economic management is one of the shortest board piece. Although we compare the planned economy era, public hospitals have improved in the economic management, but compared to the requirements of the government, social expectations, compared to the enterprise's economic management level, is very far. 

 

The Beijing news: what effect does this industry have on the patient? 

 

Zhong dongbo: the final result is favorable for the patient. 

 

The goal is to maximize social benefits of public hospitals, the public hospital is a resource converter, measure the standard of efficiency is how to set the public resources into public service to the greatest extent. 

 

2017 edition of the index of quantitative results, determine the human costs one million yuan services in one million yuan, one million yuan in fixed assets services, special equipment services, this is not before. These indicators to measure the main conversion efficiency of public resources, public hospitals such as CT mri of large equipment such as utilization, hospitals have blind procurement, how it can guide the public hospital reasonable purchase capital equipment, improve the efficiency of use, beneficial to streamline the administrative logistics department, control workers, reasonable compensation levels, balance to mobilize enthusiasm and improve the efficiency of human resources. 

 

The Beijing news: how does the appraisal translate into the regulation and restriction of the hospital? 

 

Zhong Dongbo: there are two big family planning department of public health supervision system, one is the social supervision system, the medical administration medical tubes, YaoXie management department is responsible for the, theme is the quality of medical safety; The other is a system of economic regulation, which is the subject of risk, cost, efficiency and cost, and is responsible for the financial sector. 

 

In the two major regulations, medical supervision has been caught and the economy is relatively weak, and the evaluation is the entry point. Abnormal economy usually means that, in general, medical practice is not standard, such as when other hospital 1000 yuan can be cured of the disease, at the same level you here is 5000 yuan, that there may be not reasonable medical behavior, the financial department can share information with medical administration department, in turn, the unreasonable medical behavior will inevitably affect the economy as a result, so the two system can strengthen communication sharing, promote the coordinated regulation. 

 

Of course, if the root cause of the problem is not in the hospital, it is in the health and economic policy itself to improve the health and economic policies. 

 

The Beijing news: how to cooperate with healthcare reform? 

 

Zhong dongbo: the reform of the comprehensive reform in Beijing is a major reform of the compensation mechanism of Beijing public hospitals. After the reform of the mechanism, does the management of public hospitals and the behavior of medical services change? How big is the change? This depends not only on the changes in the system itself, but also on the pressure exerted by the government. The conduct of public hospital economic management performance evaluation, can promote public hospital adapt to demands for reform in the right direction adjustment behavior, avoid to the mistake, the negative direction. 

 

Medicine apart after, say, drug addition of leverage is cancelled, but can not produce consumables alternative growth, will not be excessive use of large medical equipment? Can public hospitals be incentivised to control drug charges in zero addition? These can be assessed, guided and driven through economic management performance indicators. 

 

Based on this consideration, we can according to the instruction from the municipal leaders, quantitative results using economic management performance indicators established monthly monitoring analysis system, provides the important basis for the science to assess the effect of health care, and will use economic management performance evaluation results to promote public hospital economic management, economic regulation and economic policy of continuous improvement, promoting public hospital in the maintenance of public welfare on the basis of improving operational performance, for the masses to provide quality and efficient medical and health services.