The National Health Planning Commission and the Ministry of Finance jointly issued and issued on May 26, and the official website on June 8 issued the "Notice on Printing and Distributing the Implementation Plan for the Reporting of New Rural Cooperative Medical Treatment in Different Places" (hereinafter referred to as "Notice").
The "Notice" expresses the requirements for the implementation of the "2016 Government Work Report" on accelerating the national networking of basic medical insurance and the settlement of medical treatment in different places, and the National Health and Family Planning Commission and the Ministry of Finance "On the verification of cross-provincial medical expenses for new rural cooperative medical care. The Guiding Opinions on the Reporting Work (National Guardian Grassroots [2015] No. 46) spirit, comprehensively promote the new rural cooperative medical care (including the basic medical insurance for urban and rural residents in charge of the health and family planning department), and report on the medical network in other places, the National Health and Family Planning Commission In conjunction with the Ministry of Finance, the Ministry of Finance formulated the “Implementation Plan for the Reporting of the New Rural Cooperative Medical Treatment in Different Places†(hereinafter referred to as the “Implementation Planâ€).
The "Implementation Plan" mainly includes the following five aspects:
(1) Work objectives. The "Implementation Plan" proposes to gradually realize the report of the National Agricultural Cooperatives Inter-provincial Medical Network. Before the end of 2016, improve the national and provincial new rural cooperative information platform, basically complete the new rural cooperative medical information system, realize the report of medical network in different places in the province, and carry out the pilot program of medical treatment for inpatients in the new rural cooperatives; Before the end of 2017, the basic medical treatment for the referral of the new rural cooperatives was reported to the medical network in different places.
(2) Basic principles. The "Implementation Plan" proposes that to promote the reporting of medical network in the new rural cooperative medical system, we must adhere to the following basic principles: First, adhere to the people-oriented principle; second, adhere to the simultaneous promotion of graded diagnosis and treatment; third, adhere to the management of medical treatment, and fourth, adhere to Classification guidance.
(3) Main measures. First, we must improve the medical information system for different places by improving the national and provincial medical reporting networks, establishing off-site medical information systems and improving functions, realizing the interconnection and data sharing of medical information systems in different places. The second is to standardize the policy of medical treatment in different places by standardizing the compensation policy for medical treatment in different places, establishing a referral system for medical treatment in different places, and implementing fixed-point online medical treatment. The third is to clarify the settlement mechanism for medical treatment in different places, mainly including the implementation of management service responsibilities, the establishment of provincial settlement centers, and the standardization of settlement procedures.
(4) Schedule. The “Implementation Plan†proposed a clear time schedule for advancing the reporting of medical network in the new rural cooperative medical system. At the same time, the National Health and Family Planning Commission in accordance with the principle of “one province (autonomous region, municipality), publishing a province (autonomous region, municipality)â€, timely announced the progress of the provinces (autonomous regions, municipalities), the new rural cooperative medical system, and the progress of medical treatment.
(5) Work requirements. The “Implementation Plan†emphasizes that local health and family planning administrative departments should strengthen organizational leadership and promote the new rural cooperative medical treatment in different places as an important task in deepening the reform of medical and health system, and be included in the assessment and management of medical reform goals; medical institutions at all levels should attach great importance to cross- The province's medical treatment and reporting work, and actively create conditions to become a cross-provincial fixed-point networked medical institutions; all levels of health and family planning administrative departments, new rural cooperative medical institutions, settlement centers and medical institutions must effectively strengthen information security management and personal privacy protection.
On June 8, Premier Li Keqiang hosted a standing work conference. The meeting pointed out that the implementation of the health poverty alleviation project will complement the "short board" of medical services in poverty-stricken areas, solve the problem of poverty and returning poverty to the rural poor, and fight against poverty. ,Significant.
To this end, it is necessary to alleviate the medical burden of the rural poor, provide financial subsidies for the individual contributions to participate in the new rural cooperative medical system, increase the proportion of hospitalization expenses reimbursement within the policy scope, and increase support for major illness insurance. All rural poor people will be included in the scope of medical assistance for major diseases. Incorporate eligible medical rehabilitation programs for persons with disabilities into the scope of basic medical insurance payments. It is necessary to implement the post-patient medical treatment of the rural poor in the designated medical institutions in the county, and realize the “one-stop†instant settlement of various medical insurance and assistance.
At the same time, the meeting determined that the first priority is to integrate and utilize existing resources to build a national, provincial, municipal, and county-level population health information platform to achieve data opening between departments, regions, and industries. Convergence, co-construction and sharing. The second is to integrate medical big data resources, build support systems for clinical decision-making, disease diagnosis, drug research and development, and expand public health monitoring and evaluation, infectious disease early warning and other applications. Focus on promoting online appointments for triage, inspection and verification of results sharing and mutual recognition, medical insurance network settlement, and other conveniences for the benefit of the people, the development of telemedicine and intelligent health care equipment . The third is to develop and improve laws and regulations and standards, establish a basic database such as health records, regulate the management of residents' health information services, strictly control the access of health care big data , and build control systems such as real-name authentication to protect personal privacy and information security.
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