Notice of the General Office of the National

In order to further improve the quality of medical care, ensure medical safety, and safeguard people's health rights and interests, in accordance with the 2016 Health and Family Planning Work Arrangement and the "Notice on Printing and Distributing the Action Plan for Further Improving Medical Services" ( The relevant requirements of the National Health and Medical Service [2015] No. 2) are hereby notified as follows.

Notice of the General Office of the National Health and Family Planning Commission on Doing a Good Job in Improving Medical Quality in 2016-2017 [1] National Health Office Medical Letter [2016] No. 765 Municipal Health and Family Planning Commission, Xinjiang Production and Construction Corps Health Bureau:

In order to further improve the quality of medical care, ensure medical safety, and safeguard people's health rights and interests, in accordance with the 2016 Health and Family Planning Work Arrangement and the "Notice on Printing and Distributing the Action Plan for Further Improving Medical Services" ( The relevant requirements of the National Health and Medical Service [2015] No. 2) are hereby notified as follows:

1. Work content

(1) Further improve the medical quality management and control organization system, and strengthen the key professional medical quality management and control work. It is necessary to further strengthen the construction of the quality control organization system of various specialties, focusing on specialties such as pathology, inspection, imaging, nosocomial infection, and medical records, and strengthen quality management and control. The first is to expand the number and coverage of inter-laboratory quality assessment projects, improve the degree of homogeneity of inspections and inspections, and promote mutual recognition of inspection and inspection results. The second is to strengthen the construction of the remote consultation system, promote remote pathology and imaging diagnosis, improve the utilization rate of high-quality medical resources, and promote the sinking of resources. The third is to strengthen the construction and training of relevant professional personnel, and attach importance to the ability training and quality control of inspection and inspection technicians in primary medical institutions. The fourth is to strengthen the quality management and control of inpatient medical records and the homepage of medical records, and lay the foundation for promoting information-based quality control.

(2) Strengthen the continuous management of medical quality in the process of grading diagnosis and treatment of diseases. All provincial health and family planning administrative departments should instruct medical institutions to follow the requirements for the construction of a hierarchical diagnosis and treatment system of primary diagnosis, two-way referral, separation of acute and chronic, and linkage between upper and lower levels, focusing on chronic non-communicable diseases such as hypertension and diabetes, and strengthening " "Patient-centered, disease-oriented" medical quality management. First, unified standards and standardized diagnosis and treatment. Formulate and strictly implement relevant disease diagnosis and treatment norms, guidelines and clinical pathways, standardize the diagnosis and treatment behavior of relevant diseases in different levels and types of medical institutions, and improve the level of homogeneity. The second is the smooth mechanism and seamless connection. Relying on the division of labor and cooperation models such as medical consortium and counterpart support, the standards for admission, discharge and two-way referral of related diseases shall be implemented, the division and cooperation mechanism of comprehensive management of patients shall be innovated, and the institutional barriers of disease management shall be broken. The third is to improve the continuity of diagnosis and treatment of patients in outpatient and emergency departments in medical institutions. Innovate the working mechanism of outpatient and emergency services for patients with long-term chronic diseases and patients who are returning for consultation, try to prioritize doctors who are familiar with patients' conditions to provide services, improve the continuity of the long-term diagnosis and treatment process of patients' diseases, and improve patients' medical experience.

(3) Strengthen the quality management and cost-effectiveness ratio control of key diseases and medical technologies. Based on the actual situation in the region, select some diseases and medical technologies with high morbidity, mortality and heavy cost burden as entry points, such as stroke, coronary heart disease (interventional technology, coronary artery bypass technology), common tumors Sexual diseases (lung cancer, esophageal cancer, gastric cancer, colorectal cancer), childhood leukemia (acute lymphoblastic leukemia, acute promyelocytic leukemia), childhood congenital heart disease (atrial septal defect, ventricular septal defect), hip and knee replacement Technology, four-level digestive endoscopy diagnosis and treatment technology, etc., to further standardize clinical diagnosis and treatment behavior, improve the quality of diagnosis and treatment, strengthen cost accounting, process control, detail management and quantitative analysis, and continuously optimize the cost-effectiveness ratio. The first is to improve and implement the diagnosis and treatment norms, clinical pathways, quality control indicators and standards for related diseases and medical technologies, highlight the quality management of the whole process, and guide medical institutions to continuously improve the quality and safety of diagnosis and treatment, and improve the treatment effect. The second is to guide medical institutions to study and establish input-output analysis models for related diseases and medical technologies, strengthen the accurate management of the whole process cost, optimize the input-output ratio, and reduce the unreasonable burden of the people to see a doctor. The third is to strengthen the collection, analysis and feedback of information related to quality control and cost-effectiveness through informatization.

(4) Strengthen the refined management of the quality of day surgery. All provincial health and family planning administrative departments should guide medical institutions to strengthen the refined management of the quality of day surgery and protect the health rights and interests of patients. First, establish and improve the quality and safety management system for day surgery in medical institutions, and improve the quality and safety management and evaluation mechanism for day surgery. The second is to guide medical institutions that carry out day surgery to formulate and disclose to the public a catalog of day surgery diseases and techniques of their institutions, clarify the scope of indications, anesthesia methods, main risks and approximate cost ranges for day surgery for related diseases, and actively accept the society. Supervision. The third is to guide medical institutions that carry out day surgery to formulate clinical pathways for day surgery, and to strengthen the management of day surgery medical records. The fourth is to strengthen the education and follow-up of patients undergoing day surgery to ensure the continuity of medical services.

(5) Improve the medical quality and safety level of county hospitals and private hospitals. It is necessary to focus on county-level public hospitals and private hospitals, and strengthen the supervision and management of medical quality and safety. The first is to strengthen the awareness of legal practice in county-level public hospitals and private hospitals, further improve the medical quality and safety management system, straighten out the working mechanism, and improve the medical quality and medical safety level. The second is to focus on specialties such as anesthesia, critical care medicine, imaging, inspection, pathology, obstetrics, and pediatrics, and guide county-level public hospitals and private hospitals to strengthen specialized capacity building. The third is to focus on diagnosis and treatment technologies such as interventional technology, endoscopic technology and blood purification, strengthen the training of relevant medical personnel, improve the clinical application ability of appropriate technologies, and ensure medical quality and medical safety.

2. Job requirements

(1) Strengthen organizational leadership. On the basis of the relevant requirements of this notice, a specific work plan for the jurisdiction shall be formulated to further clarify and refine the task objectives. Establish a hospital liaison system in the region, and urge medical institutions within the jurisdiction to implement their work tasks. Medical institutions at all levels and types should formulate specific work plans for their own institutions, improve relevant system construction, smooth working mechanisms, decompose tasks and objectives, clarify division of responsibilities, and conscientiously implement work requirements. The medical quality management and control centers of all specialties at all levels shall guide, train and evaluate the medical quality and safety management of the relevant medical institutions in the responsible area. Encourage academic associations, social organizations and news media to actively participate in relevant work.  (2) Focus on working methods. It is necessary to go deep into the grassroots to carry out research, understand and timely solve the problems existing in the work, and summarize the work experience. It is necessary to pay attention to the role of professional organizations such as quality control centers at all levels, strengthen the quality control inspection and promotion of specific medical services, and help medical institutions to continuously improve the quality of medical care. Pay attention to the training and education of medical quality management personnel and clinical staff at different levels, stimulate the subjective initiative of medical personnel, strengthen the awareness of quality and safety management, be familiar with quality and safety management policies, guide quality and safety management methods and methods, and strengthen experience exchange and sharing.

(3) Attach importance to public opinion propaganda. Health and family planning administrative departments and medical institutions at all levels should strengthen the discovery of advanced experience in medical quality improvement, and publicize excellent cases within the industry or to the public. Adopt a variety of media forms, open up columns, special issues, special programs, raise uprightness, set benchmarks, publicize and promote good practices and advanced experiences, increase public awareness, and create a good atmosphere. All provincial health and family planning administrative departments should collect and summarize the work progress in their jurisdictions in a timely manner, form an annual work summary, and uniformly fill in the "Special Work Information Summary Form for Improving Medical Quality" (see attachment) every six months, respectively on December 31, 2016. , Before June 30 and November 30, 2017, submit the semi-annual work summary and work information summary table to our committee. The highlights and typical examples found in the work are reported to our committee in a timely manner, and our committee will organize and promote them nationwide as appropriate.

Office of the National Health and Family Planning Commission July 6, 2016