Health and health commissions of Beijing, Tianjin, Shanxi, Jilin, Shanghai, Jiangsu, Zhejiang, Anhui, Shandong, Hubei, Guangdong, Guangxi Zhuang Autonomous Region, Hainan, Sichuan and Shaanxi provinces:

In order to implement the major decisions and arrangements of the CPC Central Committee and the State Council on comprehensively promoting the construction of a healthy China and implementing the national strategy to actively respond to the aging population, Accelerate the implementation of the guiding opinions on promoting the reform and development of nursing service industry, the notice on strengthening elderly nursing service and the notice on strengthening home medical service for the elderly, effectively increase the supply of medical and nursing services for the elderly, and accurately connect the diversified medical and nursing service needs of the elderly. After research, our committee has identified some provinces as pilot areas for elderly medical care services. The pilot work plan is hereby printed and distributed to you. Please formulate a specific pilot plan in combination with local reality and seriously organize its implementation.

The pilot provinces should earnestly strengthen leadership, ensure the smooth implementation of the pilot work, and timely report the progress of the pilot. Please submit the specific implementation plan of this region to the medical administration and hospital authority of our committee before December 31, 2021.

Annex: pilot work plan for elderly medical care services

General Office of National Health Commission

November 15, 2021

(information disclosure form: active disclosure)

Attachment

Pilot work plan for elderly medical care services

In order to guide qualified areas to accelerate the development of elderly medical and nursing services, try first, explore and innovate diversified elderly medical and nursing service modes, accumulate useful experience in the mechanism, system and policy system of elderly medical and nursing services, give play to the typical demonstration and driving role, and promote the rapid development of national elderly medical and nursing services from point to area, this scheme is hereby formulated.

1、 Pilot objectives

After one-year pilot, explore local experiences and typical practices that can be replicated and popularized in elderly medical care services. By 2023, the pilot experience will be popularized throughout the country, the mechanism and system for the development of elderly medical and nursing services will be continuously improved, the diversified elderly medical and nursing service model will be increasingly mature, the supply of differentiated and multi-level elderly medical and nursing services will be significantly increased, and the policies and measures conducive to the development of elderly medical and nursing services will be gradually improved.

2、 Pilot scope

（1） Pilot areas: 15 provinces, including Beijing, Tianjin, Shanxi, Jilin, Shanghai, Jiangsu, Zhejiang, Anhui, Shandong, Hubei, Guangdong, Guangxi Zhuang Autonomous Region, Hainan, Sichuan and Shaanxi.

（2） The pilot period is from January to December 2022.

3、 Pilot tasks

（1） Increase the number of medical institutions and beds providing medical care services for the elderly. The pilot areas should be based on the aging population and the actual needs of medical care services for the elderly, combined with the "14th five year plan" According to the requirements of medical and health service system planning and medical institution setting planning, guide the transformation of primary and secondary hospitals into nursing homes in the region, or support social forces to hold large-scale and chain nursing stations and centers, Increase the number of nursing homes (stations) and nursing centers. Encourage qualified grass-roots medical institutions to set up and increase beds providing elderly medical care services according to needs.

（2） Strengthen the training of elderly medical and nursing practitioners. The pilot areas shall follow the training outline for elderly nursing professional nurses (Trial) and the training outline for medical nurses (Trial) It is required to carry out the training of elderly medical and nursing practitioners in the region according to local conditions. We will increase the number of elderly nursing professional nurses, expand the team of medical nurses, and improve the professional ability and service skills of elderly medical nursing practitioners. Support qualified medical institutions, industry associations and vocational training institutions to cooperate with grass-roots medical institutions and nursing homes to provide relevant training.

（3） Increase the supply of multi-level medical and nursing services for the elderly. The pilot areas should guide medical institutions to provide multi-level institutional nursing, community and home medical and nursing services for the elderly according to their functional orientation and according to their needs according to the disease characteristics, self-care ability and medical and nursing needs of the elderly in the region. The tertiary hospitals should focus on providing medical and nursing services for the elderly in emergency and critical situations Secondary and lower hospitals, continuing medical institutions and grass-roots medical institutions mainly provide common and frequently occurring medical care services for the elderly who are in stable condition or need long-term care. Encourage qualified medical institutions to actively provide community and home medical care services for the elderly.

(four) innovative and diversified medical service mode for the elderly. Pilot areas and medical institutions should actively explore innovative and diversified medical service mode for elderly patients, and support the "Internet plus nursing service" of qualified medical institutions. And extend nursing services, and expand medical and nursing services in institutions to communities and homes. Medical institutions are encouraged to provide on-site medical care services for the nearby elderly through contract signing. Qualified primary medical institutions explore setting up day care centers, "call centers" or family beds to provide day care and door-to-door care services for the elderly. Encourage the development of community embedded elderly care service institutions to provide professional and convenient medical care services for the elderly.

（5） We will carry out pilot projects for home-based medical care services for the elderly. Pilot areas should promote the implementation of the notice on strengthening home-based medical services for the elderly It is required to actively carry out the pilot work of home medical care services for the elderly. In combination with local conditions, some qualified pilot medical institutions were determined to take the lead in carrying out home medical care services, and the list of pilot medical institutions was published to the society in time. The pilot medical institutions can provide professional medical care services for the elderly with mobility problems through Internet plus, family beds and door-to-door visits. Conditional pilot medical institutions should explore to clarify the commonly used home medical care service items and frequencies after discharge when issuing discharge medical orders and rehabilitation guidance suggestions for elderly patients with chronic diseases, so as to facilitate elderly patients at home.

（6） Explore and improve the price and payment mechanism of elderly medical care services. The pilot areas should explore and establish a price and payment policy mechanism conducive to the development of elderly medical care services in combination with the actual situation. Actively coordinate with relevant departments, focus on the field of elderly medical care services, and give full play to the basic medical insurance, basic public health, family doctor signing contracts and long-term care insurance in the region Commercial insurance and other policies work together to provide strong support for the pilot work of elderly medical care services. Encourage the provinces (cities) and cities (districts) in the pilot of long-term care insurance to actively combine with the pilot policies of long-term care insurance in the region to further promote the pilot work while carrying out the pilot of elderly medical care services.

4、 Pilot requirements

（1） Strengthen the organization and leadership. The provincial health administrative departments in the pilot areas should formulate the pilot plan in the light of the actual situation and seriously organize the implementation. The health administrative departments and medical institutions should attach great importance to the pilot work of medical care services for the elderly, strengthen the organization and leadership, coordinate all forces, and ensure the effectiveness of the pilot work.

（2） Actively innovate pilot projects. The health administrative departments and medical institutions in the pilot areas should actively explore innovation, accumulate useful experience, and improve mechanisms and policies in accordance with the requirements of the pilot scheme for elderly medical care services. The focus is on improving the elderly medical care service system, innovating diversified service modes, improving the service ability of employees, carrying out home medical care services, and improving Form good practices and typical experience in price payment policies, and play an exemplary and leading role.

（3） Pay attention to quality and safety. The pilot areas should strengthen the supervision of the quality and safety of elderly medical care services, incorporate the medical institutions providing elderly medical care services into the regional medical care quality control and monitoring system, and regularly guide and evaluate them. The pilot medical institutions should establish and improve the relevant systems of elderly medical care services, improve service standards and improve service quality. They should actively Prevent, control and effectively respond to risks, and effectively ensure the safety of both doctors and patients.

（4） Timely summarize and evaluate. The health administrative departments in the pilot areas shall timely summarize and evaluate the progress of the pilot work of elderly medical care services in the pilot areas, timely identify problems and actively study and solve them. Our committee will carry out a third-party evaluation of the pilot situation of local elderly medical care services in due time. The provincial health administrative departments in the pilot areas shall carefully summarize the pilot situation and report to the government in February The summary of the pilot work in this region shall be submitted to the medical administration and medical administration of the National Health Commission before the end of December 2002.