The national health and Health Commission, the national medical insurance administration, the State Administration of traditional Chinese medicine and the Health Bureau of the logistics support department of the Central Military Commission recently issued a notice. In order to further improve the utilization rate of medical resources, reduce the burden of medical treatment for the people and ensure medical quality and safety, the measures for the administration of mutual recognition of inspection and inspection results of medical institutions have been formulated, which will be implemented as of March 1, 2022
Administrative measures for mutual recognition of examination and inspection results of medical institutions
Chapter I General Provisions
Article 1 in order to further improve the utilization rate of medical resources, reduce the burden of medical treatment on the people, and ensure the quality and safety of medical treatment, These measures are formulated in accordance with relevant laws and regulations such as the law of the people's Republic of China on basic medical hygiene and health promotion, the doctor law of the people's Republic of China, the regulations on the administration of medical institutions, the regulations on the supervision and administration of the use of medical security funds, the measures for the administration of medical quality, the measures for the administration of clinical laboratories of medical institutions and so on.
Article 2 the examination results mentioned in these Measures refer to the images or data information obtained from the examination of the human body by means of ultrasound, X-ray, nuclear magnetic resonance imaging, electrophysiology, nuclear medicine and other means; The term "test results" refers to the data information obtained from the biological, microbiological, immunological, chemical, hematological immunology, hematology, biophysics, cytology and other tests of materials from the human body. The examination results do not include the diagnostic conclusion issued by the doctor.
Article 3 these measures are applicable to all kinds of medical institutions at all levels.
Article 4} medical institutions shall carry out mutual recognition of examination and test results in accordance with the principle of "taking quality and safety as the bottom line, quality control as the premise, reducing the burden of patients as the guidance, meeting the needs of diagnosis and treatment as the foundation, and the judgment of receiving doctors as the standard".
Chapter II Organization and management
Article 5 the state health commission is responsible for the management of mutual recognition of inspection and examination results of medical institutions across the country. The state medical insurance administration shall promote the mutual recognition and support of inspection and inspection results of medical institutions across the country within the scope of its responsibilities. Local health administrative departments are responsible for the management of mutual recognition of inspection and inspection results of medical institutions within their respective administrative areas. Local competent medical security departments shall, within the scope of their duties, promote the mutual recognition and support of inspection and inspection results of medical institutions within their respective administrative regions. The State Administration of traditional Chinese medicine and the competent department of military health are respectively responsible for the management of mutual recognition of inspection and inspection results of traditional Chinese medicine and military medical institutions within the scope of their duties.
Article 6 local health administrative departments shall strengthen the organization and management of medical institutions within their jurisdiction, guide medical institutions and their medical personnel to standardize the mutual recognition of examination and test results, strengthen the construction of regional platforms in accordance with the functional guidelines for the construction of national health information platforms, and promote the exchange and sharing of examination and test results of medical institutions within their jurisdiction.
Article 7 the medical quality control organizations (hereinafter referred to as quality control organizations) at all levels and specialties established or designated by the local health and health administrative departments in accordance with the medical quality management measures shall formulate and improve the quality evaluation indicators and quality management requirements of the inspection and inspection items at the same level under the guidance of the health and health administrative departments at the same level. Quality control organizations at all levels shall strengthen the quality management of their own professional inspection and inspection items in their own regions, regularly standardize the quality evaluation, and promote the medical institutions in their own regions to improve the quality of inspection and inspection.
Article 8 {medical institutions shall strengthen the construction of hospital information platform with electronic medical records as the core in accordance with the requirements of hospital information construction standards and norms. Establish and improve the management system of mutual recognition within the institution, strengthen personnel training, standardize work flow, and provide necessary equipment, facilities and guarantee measures for relevant medical personnel to carry out mutual recognition.
Article 9 # the leading hospitals of the medical consortium shall promote the interconnection of data and information within the medical consortium, strengthen the quality control of inspection and inspection, improve the homogenization level of inspection and inspection, and realize the mutual recognition and sharing of inspection and inspection results.
Article 10 medical personnel shall abide by professional norms, scrupulously abide by medical ethics, make reasonable diagnosis and treatment, strive to improve their professional level and service quality, and recognize the qualified inspection results.
Chapter III: mutual recognition rules
Article 11 the inspection items to be carried out for mutual recognition shall have good stability and unified technical standards to facilitate quality evaluation.
Article 12} meet the national quality evaluation indicators and participate in the inspection and inspection items that pass the national quality evaluation. The scope of mutual recognition is the whole country. Meet the local quality evaluation indicators, and participate in the inspection and inspection items that pass the quality evaluation of the local quality control organization. The mutual recognition scope is the region corresponding to the quality control organization. Where different regions jointly carry out inspection, inspection and mutual recognition through signing agreements, the health administrative departments of the relevant regions shall jointly establish or designate quality control organizations to carry out relevant work. If they participate in relevant quality evaluation and pass the evaluation, the scope of mutual recognition is the agreement area.
Article 13 the mutual recognition mark of inspection and inspection results of medical institutions shall be unified as HR. If the inspection items participate in the quality evaluation carried out by quality control organizations at all levels and are qualified, the medical institution shall mark its corresponding mutual recognition scope + mutual recognition mark. Such as "national HR", "Beijing Tianjin Hebei HR", "Xicheng District hr of Beijing", etc. The inspection items that fail to participate in the quality evaluation or fail to pass the quality evaluation shall not be marked.
Article 14 the provincial health administrative department shall guide the medical institutions under its jurisdiction to unify the format of the inspection result report, and indicate the inspection method and reference range for the inspection results. Medical institutions are encouraged to issue the inspection results of mutual recognition within the same area in a report, and uniformly mark the corresponding mutual recognition area and mutual recognition marks on the report.
Article 15 local health administrative departments shall guide the quality control organizations at the same level to sort out the list of mutual recognition items of medical institutions under their jurisdiction regularly, and strengthen publicity and publicity in accordance with relevant regulations, so as to facilitate the inquiry and understanding of medical institutions and the public.
Article 16 medical institutions and their medical personnel shall, on the premise of not affecting the diagnosis and treatment of diseases, mutually recognize the inspection results marked with mutual recognition marks of the whole country or the region where the institution is located. Medical personnel are encouraged to recognize the results of other examinations and tests in combination with clinical practice without affecting the diagnosis and treatment of diseases.
Article 17 medical institutions and their medical personnel shall not repeat the examination and test if the existing examination and test results provided by patients meet the conditions of mutual recognition and meet the needs of diagnosis and treatment.
Article 18} medical personnel shall issue medical orders for examination and inspection according to the patient's condition. For the inspection items that meet the conditions of mutual recognition, relevant fees shall not be charged again in the form of packaging with other items.
Article 19} in case of the following circumstances, the medical institution and its medical personnel may re inspect the relevant items:
(1) Due to the change of the patient's condition, the examination results are inconsistent with the patient's clinical manifestations and disease diagnosis, which is difficult to meet the needs of clinical diagnosis and treatment;
(2) The examination results change rapidly in the process of disease development and evolution;
(3) The inspection items are of great significance for disease diagnosis and treatment (such as before major medical measures such as surgery and blood transfusion);
(4) The patient is in a state of emergency such as emergency and first aid;
(5) Involving judicial, disability and sick leave appraisal;
(6) It is really necessary to recheck under other circumstances.
Article 20 qualified medical institutions may set up examination and testing clinics, which are visited by medical imaging and radiotherapy professionals or medical examination and pathology professionals, and independently provide disease diagnosis and reporting services.
Article 21 medical institutions and their medical personnel shall strengthen the communication between doctors and patients. If the inspection items are not mutually recognized, they shall make explanations and fully inform the purpose and necessity of re inspection.
Chapter IV Quality Control
Article 22 the instruments and equipment, reagents and consumables used by medical institutions for inspection and inspection shall meet the relevant requirements, and the instruments and equipment shall be verified, tested, calibrated, measured and maintained according to the regulations.
Article 23 medical institutions shall strengthen the quality management of inspection and testing departments, establish and improve the quality management system, and take the quality management as an important index for the comprehensive objective assessment of the heads of departments.
Article 24 a medical institution shall carry out indoor quality control in a standardized manner, and timely and accurately submit its indoor quality control and other relevant quality and safety information to the administrative department of health and health or the quality control organization in accordance with relevant requirements.
Article 25 medical institutions shall participate in the quality evaluation carried out by quality control organizations in accordance with relevant regulations. For the inspection items with mutual recognition marks, the frequency of participating in the corresponding quality evaluation shall not be less than once every half a year.
Article 26 local health administrative departments and the quality control organizations entrusted by them shall, in accordance with relevant regulations, regularly conduct spot checks on the inspection and inspection quality of medical institutions under their jurisdiction. The spot check work shall be organized and carried out in the way of "double random and one open"
Chapter V support and guarantee
Article 27 local health administrative departments shall strengthen the capacity building of inspection and inspection in their jurisdictions, and regularly organize personnel training, on - site inspection, result monitoring, etc.
Article 28
(1) If the inspection results can meet the needs of diagnosis and treatment, the medical institution will charge the corresponding diagnosis fee according to the door (emergency) diagnosis, without additional charge.
(2) If the examination and inspection results meet the requirements of mutual recognition, but the mutual recognition of examination and inspection results can be completed only with the joint participation of the corresponding examination and inspection departments, the consultation fee in the hospital can be charged on the basis of charging the consultation fee and referring to the price policy implemented by the hospital.
(3) If the examination results meet the conditions for mutual recognition, but fall under the circumstances specified in Article 19 of these measures and cannot play the role of auxiliary diagnosis, and re examination is really necessary, the actual medical service fees shall be charged.
Article 29 medical insurance institutions at all levels shall take the initiative to analyze and compare the use of medical insurance funds, strengthen the horizontal and vertical performance evaluation mechanism, and actively guide the use of medical insurance funds. At the same time, reasonably determine the total budget of the medical insurance fund, and do not reduce the total regional budget and the total budget of a single medical institution due to mutual recognition of the inspection results.
Article 30 a qualified medical institution may incorporate the mutual recognition of examination results carried out by medical personnel into its performance distribution and evaluation mechanism.
Article 31 medical security agencies at all levels are encouraged to take the mutual recognition of inspection results carried out by medical institutions as the evaluation standard of designated medical insurance institutions.
Chapter VI Supervision and Administration
Article 32 local health administrative departments have the right to supervise and inspect the mutual recognition work carried out by medical institutions within their jurisdiction by means of consulting and recording, and medical institutions shall not refuse, hinder or conceal relevant information.
Article 33 local health administrative departments shall carry out regular work assessment, and investigate the relevant responsibilities of medical institutions and their medical personnel in violation of relevant regulations in accordance with the law.
Article 34 local health administrative departments should make full use of information means to monitor the mutual recognition of inspection results and data sharing of medical institutions in real time, and put forward improvement requirements for medical institutions with prominent problems.
Article 35 for disputes arising from mutual recognition of inspection results, all responsible subjects shall bear corresponding responsibilities according to law and regulations.
Article 36 If the inspection results are forged, altered, concealed or altered, resulting in adverse consequences, the violator shall bear corresponding responsibilities according to law and regulations.
Chapter VII supplementary provisions
Article 37 The State Health Commission and the State Medical Insurance Bureau shall be responsible for the interpretation of these measures.
Article 38 all provincial health administrative departments shall formulate specific implementation plans in accordance with these measures and in combination with local actual conditions. Encourage qualified regions to jointly formulate implementation plans and promote the mutual recognition of inspection results across provinces.
Article 39 these Measures shall come into force as of March 1, 2022.
Interpretation of the notice on printing and distributing the administrative measures for mutual recognition of examination and test results of medical institutions
Examination and inspection is an important part of medical services. Realizing the mutual recognition of examination and inspection results between different medical institutions will help to improve the utilization of medical resources, reduce medical costs, improve diagnosis and treatment efficiency, and further improve the medical experience of the people. In order to do a good job, the State Health Commission, the state medical insurance administration, the State Administration of traditional Chinese medicine and the Health Bureau of the logistics support department of the Central Military Commission jointly issued the administrative measures for mutual recognition of inspection and inspection results of medical institutions (hereinafter referred to as the administrative measures).
The administrative measures is divided into 7 chapters and 39 articles, which clarify the requirements for mutual recognition of inspection and inspection results of medical institutions from the aspects of organization and management, mutual recognition rules, quality control, support and guarantee, supervision and management, etc. The administrative measures divides the responsibilities of relevant departments, and clearly puts forward that medical institutions should carry out the mutual recognition of inspection and test results in accordance with the principle of "taking quality and safety as the bottom line, quality control as the premise, reducing the burden of patients as the guidance, meeting the needs of diagnosis and treatment as the foundation, and the judgment of receiving doctors as the standard". At the same time, it defines the basic requirements for mutual recognition, puts forward the specific conditions that can be re examined, and requires medical personnel to strengthen doctor-patient communication. If the inspection items are not mutually recognized, they should make explanations and fully inform the purpose and necessity of re examination.
Source: Official Website of National Health Commission
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