On June 19th, the Medical and Hospital Administration issued the "Notice on Further Reforming and Perfecting the Approval of Medical Institutions and Physicians" (hereinafter referred to as the "Notice"). The core of the main theme is to regard the "simplified government and decentralization" as the "first mover" and "the first gun" to comprehensively deepen the reform, and continue to promote the "distribution service" reform. At the two sessions this year, Premier Li Keqiang put forward the "six ones" for deepening the reform of "distribution suits" (the company started to cut the time by half; the project approval time was cut in half; the government service was completed by one network; the enterprises and the masses worked hard to Only enter one door; run at most once; any proof that no legal and legal basis is cancelled).
The full text of the "Notice"
1, in order to make advance medical institutions, physicians, registered nurses electronic management reform as an important starting point to deepen the medical field, "put tube dress" reform, speed up the establishment approval information sharing mechanism, to further simplify the approval process and shorten the approval time, improve Approval efficiency;
2, medical institutions, medical institutions can be set independently and in accordance with the relevant medical subjects registration;
3, name-profit medical institutions shall comply with the enterprise, the relevant provisions of individual business name registration and medical institutions named;
4, where the lack of legal basis for approval of medical application materials shall be canceled, nor in need verification certificate and proof material;
5 , "Two certificates in one": In addition to tertiary hospitals, tertiary maternal and child health hospitals, emergency centers, first aid stations, clinical testing centers, Sino-foreign joint venture medical institutions, Hong Kong, Macao and Taiwan-owned medical institutions, other medical institutions, health The health administrative department no longer issues the "Approval of Medical Institutions", and only issues the "Certificate of Practice for Medical Institutions" at the time of practicing registration. After maternal and child health care technical training and assessment, the obstetrician and gynaecologist will add the maternal and child health care technical service related content to the doctor's practice certificate, and will not issue the maternal and child health care technical assessment certificate separately.
On May 15, 2018, the General Office of the Central Committee of the Communist Party of China and the General Office of the State Council issued the "Guiding Opinions on Deepening the Advancement of Examination and Approval Services". The purpose is to increase the transformation of government functions and the power of administration and promotion of various departments and departments to promote approval. The service concept, system, and work style are all-round and profound, and efforts are made to create an examination and approval service model of “wide-in, fast-run, strict management, convenient and openâ€.
Attachment: Original text of the "Notice on Further Reforming and Perfecting the Examination and Approval of Medical Institutions and Physicians"
Guowei Medical Fa [2018] No. 19
Health and Family Planning Commission of each province, autonomous region, municipality directly under the Central Government, Chinese Medicine Administration, Xinjiang Production and Construction Corps Health and Family Planning Commission:
In order to thoroughly implement the spirit of the 19th National Congress of the Communist Party of China and the important meeting of the State Council's Clean Government Work Conference on deepening the reform of the “distribution serviceâ€, we will continue to optimize the approval process in the medical field, improve the efficiency of examination and approval, and give full play to the role of the competent department of the health and health industry. According to the Notice of the General Office of the General Office of the Central Committee of the Communist Party of China on Printing and Distributing the "Guiding Opinions on Deepening the Promotion of the Approval of the Service", the notice for further reform and improvement of medical institutions and physicians is as follows:
I. Comprehensively promote the reform of electronic registration management
The local health administrative departments at all levels (including the competent authorities of Chinese medicine, the same below) should promote the reform of electronic registration management of medical institutions, doctors and nurses as an important starting point for deepening the reform of the “distribution service†in the medical field, and accelerate the establishment of approval information. The sharing mechanism further simplifies the approval process, shortens the time limit for approval, and improves the efficiency of examination and approval. Before the end of June 2018, the country fully implemented electronic registration management. According to the electronic registration management and the production style and technical requirements formulated by the National Health and Health Commission, the provincial health and health administrative departments shall organize the printing and issuance of medical institutions' licenses and copies.
Second, optimize the registration of medical institutions Â
Under the premise of ensuring medical quality and safety, medical institutions may entrust medical examination laboratories, pathological diagnosis centers, medical imaging diagnosis centers, medical disinfection supply centers or other medical institutions with conditions to provide medical examination, pathological diagnosis and medical imaging. , medical disinfection supply and other services. The health and health administrative department may use the entrustment agreement as the basis for registration of the relevant medical and therapeutic subjects of the medical institution, and note the “Agreement†after the medical treatment subject. The leading hospitals of the urban medical group and the county medical community shall meet the basic standards of the corresponding medical institutions and have the medical services, pathological diagnosis, medical imaging, disinfection supply and other service capabilities.
Third, regulate the name of for-profit medical institutions
The name of a for-profit medical institution shall comply with the relevant provisions of the name registration of enterprises and individual industrial and commercial enterprises and the naming of medical institutions. The administrative department of health and health shall strengthen the communication with the market supervision department, and provide the market supervision department with the name information of the for-profit medical institution in a timely manner according to the needs of the work. The health and health administrative department shall, according to the application of the for-profit medical institution, issue the certification materials of the name information of the medical institution to facilitate the normal operation and operation of the for-profit medical institution.
Fourth, simplify the examination and approval of medical institutions
The local health administrative departments at all levels shall comprehensively organize the application materials for the examination and approval of medical institutions, and all those that lack the basis of laws and regulations shall be cancelled; if relevant information can be obtained through sharing with other departments, the applicants may not be required to provide supporting materials. If the application for medical institution registration is applied, the verification certificate will no longer be provided, and the applicant shall be responsible for the authenticity of the registered capital.
Five, two or less medical institutions set up approval and practice registration "two certificates in one"
Except for tertiary hospitals, tertiary maternal and child health hospitals, emergency centers, first aid stations, clinical testing centers, Sino-foreign joint venture medical institutions, and Hong Kong, Macao and Taiwan-owned medical institutions, other health institutions will not be issued. Institutional Approval, the Medical Institution License is issued only at the time of practice registration. Before applying for practice registration, the organizer should conduct in-depth research on the feasibility of setting up a medical institution and the impact on the surrounding area, and rationally design the location layout, function positioning, service mode, medical treatment subject, staffing, number of beds, equipment of the medical institution. Facilities and other matters. When applying for practice registration, the applicant shall submit the materials specified in the second to seventh items of Article 25, Section 1 of the Regulations for the Administration of Medical Institutions (excluding the capital verification certificate). After accepting the application for registration of medical institutions, the administrative department of health and health shall publicize the basic conditions of the medical institutions that apply for registration, and conduct audits in accordance with Article 26 of the Detailed Rules for the Implementation of the Regulations on the Administration of Medical Institutions; Institutional Practice Permit; if the audit is unqualified, the applicant shall be notified in writing of the results of the audit and the reasons for disapproval.
Sixth, combined gynaecology and obstetrician practitioner certificate and maternal and child health technology assessment certificate
According to the "Mother and Infant Health Care Law" and its implementation methods, the obstetrician and gynaecologists will be supplemented with maternal and child health care technical services after the maternal and child health care technical training and assessment, and will not be issued separately. Maternal and child health technical assessment certificate.
Local health administrative departments at all levels must attach great importance to the examination and approval of medical institutions and physicians. In accordance with the requirements of this notice, combined with the actual implementation of the detailed implementation rules, the policy publicity and interpretation, timely update and improve the service guides and procedures for related matters, Strive to let the relevant agencies and personnel do only one door and run at most once.
National Health and Wellness Committee State Administration of Traditional Chinese Medicine June 15, 2018
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